Active NPIIndividual provider

Dana L Petersen, LICSW

Social Worker, Clinical in Springfield, Vermont

NPI Number1376051896
Practice location
390 River St, Springfield, VT 05156-2226
Fax
802-886-4520
Last updated
January 18, 2018

Dana L Petersen is a Social Worker, Clinical based in Springfield, VT. Dana L Petersen practices in Springfield, VT and has the professional credentials of LICSW. The NPI Number for Dana L Petersen is 1376051896 and holds a License No. 089.0120793 (VT). The current practice location address for Dana L Petersen is 390 River St, Springfield, VT 05156-2226 and can be reached out via phone at 802-886-4500 and via fax at 802-886-4520.

Provider Profile Details

NPI Number
1376051896
Provider Name
Dana L Petersen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
390 River St, Springfield, VT 05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 18, 2018
Last Update Date
January 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 River St
Springfield, VT 05156-2226
State
Vermont
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520
Springfield, VT 05156Get directions →

Provider Business Mailing Address Details

Address
390 River St
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

License Number
089.0120793
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

Other Social Worker, Clinical providers near Springfield, VT

View all Social Worker, Clinical providers in Springfield →

Frequently Asked Questions

What is the NPI number of Dana L Petersen, LICSW?

The NPI number of Dana L Petersen, LICSW is 1376051896. It was assigned on January 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Dana L Petersen, LICSW?

Dana L Petersen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0120793.

Where does Dana L Petersen, LICSW practice?

The practice location is 390 River St, Springfield, VT 05156-2226. The office can be reached at 802-886-4500 (phone) or 802-886-4520 (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 1376051896 directly on the NPPES registry website.

Browse related providers