Active NPIIndividual providerSole proprietor

Jean B Peterson, LCSW

Social Worker, Clinical in Stonington, Connecticut

NPI Number1295804193
Practice location
22 Bayview Ave, Stonington, CT 06378-1142
Fax
860-536-4478
Last updated
January 25, 2012

Jean B. Peterson is a Social Worker, Clinical based in Stonington, CT. Jean B. Peterson practices in Stonington, CT and has the professional credentials of LCSW. The NPI Number for Jean B. Peterson is 1295804193 and holds a License No. 003735 (CT). The current practice location address for Jean B. Peterson is 22 Bayview Ave, Stonington, CT 06378-1142 and can be reached out via phone at 860-536-4478 and via fax at 860-536-4478.

Provider Profile Details

NPI Number
1295804193
Provider Name
Jean B. Peterson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
22 Bayview Ave, Stonington, CT 06378-1142
Phone Number
860-536-4478
Fax Number
860-536-4478
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2006
Last Update Date
January 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bayview Ave
Stonington, CT 06378-1142
Zip
06378-1142
Phone Number
860-536-4478
Fax Number
860-536-4478
Stonington, CT 06378Get directions →

Provider Business Mailing Address Details

Address
6 Godfrey St
Mystic, CT 06355-1702
City
Mystic
State
CT
Zip
06355-1702
Phone Number
860-536-4478
Fax Number
860-536-4478

License Information

License Number (1)
003735
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
R010111-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Jean B Peterson, LCSW?

The NPI number of Jean B Peterson, LCSW is 1295804193. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Jean B Peterson, LCSW?

Jean B Peterson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 003735.

Where does Jean B Peterson, LCSW practice?

The practice location is 22 Bayview Ave, Stonington, CT 06378-1142. The office can be reached at 860-536-4478 (phone) or 860-536-4478 (fax).

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 1295804193 directly on the NPPES registry website.

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