MS. KATHLEEN PETERS (NPI# 1831240324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831240324 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN PETERS |
| Credential | MSW |
| Practice Address |
621 W Madrone St Roseburg OR 97470-3090 |
| Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
| Practice Telephone | 5416722691 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L7293 | OR | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801085075 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN STATE LICENSE # | 680108075 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Johnson St, Alpena, MI 497071434 | 9893562161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780708677 | Kathleen Peters | Registered Nurse | 690 Oxford St, Chula Vista, CA 91911-7111 | 2007-03-18 |
| 1679582811 | Kathleen Peters | Marriage & Family Therapist | 3520 New Hartford Rd Ste 401, Owensboro, KY 42303-1782 | 2006-08-05 |
| 1053939017 | Kathleen Peters | Counselor | 1315 Curt Dr, Champaign, IL 61821-1167 | 2020-07-07 |
| 1942709605 | Kathleen Halligan Peters | Psychologist | 701 Bestgate Rd, Annapolis, MD 21401-2117 | 2018-02-08 |
| 1144745407 | Kathleen Erin Peters | Social Worker | 4633 Aicholtz Road, Cincinnati, OH 45244 | 2017-08-08 |
| 1477908325 | Kathleen Nichole Peters | Occupational Therapist | 741 South Drive, Mount Ida, AR 71957 | 2016-04-28 |
| 1770822413 | Kathleen Nora Peters | Occupational Therapy Assistant | 107 E Beckert Rd, New London, WI 54961-2509 | 2013-01-31 |
| 1144484957 | Kathleen Peters | Dietitian, Registered | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2008-07-11 |
| 1063533719 | Kathleen Marie Peters | Chiropractor | 90 Maine Ave, Gardiner, ME 04345-2131 | 2007-04-02 |
| 1538278304 | Kathleen Peters | Counselor | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2006-08-29 |
| Street Address |
621 W MADRONE ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571244 | Linda Lou Westfall | Nurse Practitioner | 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 | 2006-05-04 |
| 1093322919 | Natasha Ritson | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-24 |
| 1427664630 | Sara Clark | Peer Specialist | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
| 1538775754 | Aurora Petterson | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-22 |
| 1730794884 | Paige Nicole Hosford | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-14 |
| 1922612035 | Fatima Jalloh | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-09-04 |
| 1013528272 | Mae L Hoopes | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-08-12 |
| 1265040018 | Angelica Laurent | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-17 |
| 1417574898 | Bryn Orr | Case Manager/Care Coordinator | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-07-01 |
| 1508481912 | Jeremy Michael Smith | Counselor | 621 W Madrone St, Roseburg, OR 97470-3090 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1205365491 | Prana Counseling LLC | Social Worker | 160 Westwood Ln, Roseburg, OR 97471-9556 | 2017-06-09 |
| 1750839288 | Brittany Ryan | Social Worker | 1646 Ne Commercial Ave, Roseburg, OR 97470-3209 | 2016-09-13 |
| 1518328822 | Susan Lavin | Social Worker | 256 Se Stephens St, Roseburg, OR 97470-3124 | 2016-03-14 |
| 1184098865 | Marilyn Mull | Social Worker | 753 Se Main St, Suite 201, Roseburg, OR 97470-3938 | 2015-11-18 |
| 1447623376 | Amber Barrows | Social Worker | 300 Jerrys Dr, Roseburg, OR 97470-1132 | 2015-10-30 |
| 1922238708 | John L De Smet | Social Worker | 3763 Garden Valley Rd, Roseburg, OR 97471-9272 | 2009-07-15 |
| 1184867509 | Shanna Lyn Howald | Social Worker | 621 W Madrone Street, Roseburg, OR 97470-3090 | 2009-04-15 |
| 1558520924 | Julie A Hargraves | Social Worker | 2371 Ne Stephens Street, Suite 200, Roseburg, OR 97470-1399 | 2008-06-02 |
| 1720271976 | Meredith C Krugel | Social Worker | 272 Nw Medical Loop Ste E, Roseburg, OR 97471-5545 | 2007-08-21 |
| Find all providers in ROSEBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.