SHARON PETERSON (NPI# 1841324324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841324324 |
| Entity Type | Individual |
| Full Name | SHARON PETERSON |
| Credential | LCSW-C |
| Practice Address |
8744 Main St Ste 403 Woodstock GA 30188 |
| Mailing Address |
8744 Main St Ste 303 Woodstock GA 30188-4951 |
| Practice Telephone | 7702789459 |
| Mailing Telephone | 7702789459 |
| Mailing Fax Number | 7702789489 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005478 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
10458 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | JHHC | 111427 | 01 |
| MD | BLUE CHOICE | S8030009 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7801 York Rd, Suite 215, Towson, MD 212047446 | 4103377772 | 4103378729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982130084 | Sharon Peterson | Preferred Provider Organization | 6118 Mayflower Ave, Cincinnati, OH 45237-4820 | 2017-05-10 |
| 1134576457 | Sharon Dawn Peterson | Social Worker | 400 Beechwood Ave, Ewing, NJ 08618-2524 | 2016-05-17 |
| 1952677312 | Sharon Ann Peterson | Registered Nurse | 2980 Rice St, Little Canada, MN 55113-2230 | 2012-03-29 |
| 1194951939 | Sharon Elizabeth Peterson | Speech-Language Pathologist | 35 Ross Ln, Mount Sinai, NY 11766-2521 | 2009-06-08 |
| 1336304138 | Sharon Rose Peterson | Family Medicine | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, OR 97007 | 2008-07-22 |
| 1083230437 | Sharon E Peterson | Counselor | 8910 Clairemont Mesa Blvd, San Diego, CA 92123-1104 | 2020-06-22 |
| 1740683572 | Sharon Peterson | Nurse Practitioner | 2045 N Franklin St, Denver, CO 80205-5437 | 2014-10-07 |
| 1346584943 | Sharon L Peterson | Dietitian, Registered | 8877 Se 165th Mulberry Ln, The Villages, FL 32162-5887 | 2012-11-20 |
| 1386777043 | Sharon Ann Peterson | Counselor | 3331 Power Inn Rd, 190, Sacramento, CA 95826-3889 | 2007-03-13 |
| 1780761585 | Sharon S Peterson | Oral & Maxillofacial Surgery | 12121 Richmond Ave, Ste 316, Houston, TX 77082 | 2006-11-01 |
| Street Address |
8744 MAIN ST STE 403 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| 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 |
|---|---|---|---|---|
| 1891289096 | Nakeda Nettles | Social Worker | 74 Shirley Rd, Woodstock, AL 35188-4365 | 2018-06-20 |
| 1619469327 | Jennifer Marie Renick | Social Worker | 5208 Michaels Way, Woodstock, GA 30188-4675 | 2018-05-30 |
| 1740770684 | Mpd Consulting, Inc | Social Worker | 4595 Towne Lake Pkwy Ste 250, Woodstock, GA 30189-5514 | 2018-05-16 |
| 1194262493 | Daniel Lombardi | Social Worker | 59 Oak Dr, Woodstock, CT 06282 | 2017-01-24 |
| 1215392147 | Tlb Counseling Ltd | Social Worker | 134 Cass St, B, Woodstock, IL 60098-3208 | 2015-12-18 |
| 1891185773 | Amy Tures | Social Worker | 720 W Judd St, Woodstock, IL 60098-3137 | 2015-01-29 |
| 1184036949 | Donna Fischer | Social Worker | 1401 Savanna Ln, Woodstock, IL 60098-3674 | 2014-05-28 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1245580125 | Sherrie Delaine Sperling | Social Worker | 115 Susobell Pl, Woodstock, GA 30188-5103 | 2012-09-18 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on SHARON PETERSON.
| 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.