Active NPIIndividual provider

Mrs. Jillian N Peterson, MSW, LICSW, MLADC

Social Worker, Clinical in Concord, New Hampshire

NPI Number1215317268
Practice location
10 Ferry St Ste 313, Concord, NH 03301-5004
Fax
—
Last updated
October 25, 2024

Jillian N Peterson is a Social Worker, Clinical based in Concord, NH. Jillian N Peterson practices in Concord, NH and has the professional credentials of MSW, LICSW, MLADC. The NPI Number for Jillian N Peterson is 1215317268 and holds a License No. 2431 (NH). The current practice location address for Jillian N Peterson is 10 Ferry St Ste 313, Concord, NH 03301-5004 and can be reached out via phone at 860-788-6404.

Provider Profile Details

NPI Number
1215317268
Provider Name
Jillian N Peterson
Credential
MSW, LICSW, MLADC
Provider Entity Type
Individual
Gender
Female
Address
10 Ferry St Ste 313, Concord, NH 03301-5004
Phone Number
860-788-6404
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2015
Last Update Date
October 25, 2024
Certification Date
October 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Ferry St Ste 313
Concord, NH 03301-5004
Zip
03301-5004
Phone Number
860-788-6404
Concord, NH 03301Get directions →

Provider Business Mailing Address Details

Address
Po Box 1595
Middletown, CT 06457-8095
City
Middletown
State
CT
Zip
06457-8095
Phone Number
860-788-6404

License Information

License Number
2431
License State
NH
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jillian N Peterson, MSW, LICSW, MLADC?

The NPI number of Mrs. Jillian N Peterson, MSW, LICSW, MLADC is 1215317268. It was assigned on June 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jillian N Peterson, MSW, LICSW, MLADC?

Mrs. Jillian N Peterson, MSW, LICSW, MLADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 2431.

Where does Mrs. Jillian N Peterson, MSW, LICSW, MLADC practice?

The practice location is 10 Ferry St Ste 313, Concord, NH 03301-5004. The office can be reached at 860-788-6404 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215317268 directly on the NPPES registry website.

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