MRS. ANDREA M.H. PETERSON (NPI# 1942324876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942324876 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA M.H. PETERSON |
| Credential | LCSW |
| Practice Address |
1127 N Oakley Blvd 3rd Floor Chicago IL 60622-3507 |
| Practice Telephone | 3127703320 |
| Mailing Telephone | 3127703320 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149009195 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922569698 | Andrea Marie Peterson | Pediatrics | 1917 Lakeshore Dr, Modesto, CA 95355-1869 | 2019-03-26 |
| 1154689412 | Andrea Lyn Peterson | Occupational Therapy Assistant | 3452 Hickory Ln, Deer Park, TX 77536-5051 | 2012-04-24 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1336762772 | Andrea Peterson | Behavioral Analyst | 8285 S Saginaw St, Grand Blanc, MI 48439-2468 | 2020-05-20 |
| 1740812858 | Andrea Peterson | Psychologist | 430 E Shirley Ave, Warrenton, VA 20186-3725 | 2020-02-06 |
| 1063876019 | Andrea Michelle Peterson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9032 | 2016-04-06 |
| 1609146570 | Andrea Peterson | Marriage & Family Therapist | 2378 Maritime Dr Ste 100, Elk Grove, CA 95758-3641 | 2012-01-09 |
| 1770731473 | Andrea B Peterson | Nurse Practitioner | 737 Broadway, Fargo, ND 58122-0001 | 2008-09-05 |
| 1801904776 | Andrea T Peterson | Physical Medicine & Rehabilitation | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-29 |
| 1245200187 | Andrea A Peterson | Family Medicine | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-01-24 |
| Street Address |
1127 N OAKLEY BLVD 3RD FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841305877 | Presence Chicago Hospitals Network | Pharmacy | 1127 N Oakley Blvd, Ste 137, Chicago, IL 60622-3507 | 2006-08-20 |
| 1386202216 | Verenisse Torres | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Fl 2, Chicago, IL 60622-3507 | 2019-06-05 |
| 1093271116 | Iesha D Harris | Counselor | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2019-02-13 |
| 1972085447 | Alexys Marie Opel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-31 |
| 1902387715 | Christina Marie Chavira | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-29 |
| 1104307966 | Yadira Chavez | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
| 1629559521 | Bianca Mckenzie Mack | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-28 |
| 1285115436 | Bridget Stukel | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-26 |
| 1659851483 | Erin Hohman Ameri | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
| 1558841247 | Angelica Picado | Clinic/Center | 1127 N Oakley Blvd, Chicago, IL 60622-3507 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| 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 |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
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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.