JAMIE PETERSON (NPI# 1831256577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831256577 |
| Entity Type | Individual |
| Full Name | JAMIE PETERSON |
| Credential | LCSW |
| Practice Address |
1660 W Linne Rd Ste J Tracy CA 95377-8024 |
| Mailing Address |
2171 Spring View Ct Tracy CA 95376-2476 |
| Practice Telephone | 2099237083 |
| Mailing Telephone | 2098342690 |
| Mailing Fax Number | 2095231296 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS22880 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1376998427 | Jamie Lyn Peterson | Counselor | 195 Anselmo Dr, Reno, NV 89523-8989 | 2016-04-26 |
| 1487078911 | Jamie Brooke Peterson | Physician Assistant | 101 E Mount Royal Ave, Apt 301, Baltimore, MD 21202-2757 | 2014-02-04 |
| 1407107931 | Jamie D Peterson | Specialist/Technologist, Other | 1604 Visa Dr Ste 2, Normal, IL 61761-2195 | 2012-09-24 |
| 1821638248 | Jamie Peterson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2020-01-14 |
| 1164065769 | Jamie Peterson | Massage Therapist | 1107 7th St, Oregon City, OR 97045-2407 | 2019-10-26 |
| 1457824245 | Jamie Lyn Peterson | Counselor | 70 Jewett Pkwy, Buffalo, NY 14214-2322 | 2019-01-04 |
| 1124500061 | Jamie Anne Peterson | Speech-Language Pathologist | 3000 Schoolview Rd, Eden, NY 14057-1117 | 2018-09-06 |
| 1366811739 | Jamie Peterson | Registered Nurse | 286 S 16th St, Grover Beach, CA 93433-2245 | 2015-09-16 |
| 1962892166 | Jamie Peterson | Speech-Language Pathologist | 325 Inverness Dr S, Englewood, CO 80112-6012 | 2015-01-27 |
| Street Address |
1660 W LINNE RD STE J |
| City | TRACY |
| State | CA |
| Zip Code | 95377-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1972043164 | Susana Diaz | Social Worker | 1861 Lynn W Riffle St, Tracy, CA 95304-5877 | 2017-03-07 |
| 1255782090 | Eileen Theresa Burkey | Social Worker | 1741 Parker Polich Ct, Tracy, CA 95376-9624 | 2016-06-23 |
| 1316394182 | Aimee Comstock | Social Worker | 359 W 11th St # A, Tracy, CA 95376-3862 | 2016-05-20 |
| 1861784522 | Christa M Turner | Social Worker | 2850 N Tracy Blvd Ste 200, Tracy, CA 95376-7789 | 2011-05-12 |
| 1932433778 | Lettie Ordone | Social Worker | 2160 W Grant Line Rd Ste 215, Tracy, CA 95377-7333 | 2009-09-27 |
| 1447437892 | Norma Jean Paisley | Social Worker | 30000 Kasson Rd. #323, Tracy, CA 95304 | 2008-01-29 |
| 1376766188 | Timothy Paul Suderman | Social Worker | 241 E 10th St Ste D, Tracy, CA 95376-4076 | 2007-04-10 |
| 1417574443 | Leather Donaldson-nevarez | Social Worker | 2160 W Grant Line Rd Ste 215, Tracy, CA 95377-7333 | 2020-06-25 |
| 1841823978 | Agitu M Ruda | Social Worker | 35 E 10th St Ste L, Tracy, CA 95376-4083 | 2020-02-18 |
| 1356802482 | Melanie Deschine | Social Worker | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2019-03-29 |
| Find all providers in TRACY | ||||
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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.