KELLY ANN PETERSOHN LCSW NPI 1730341272

NPI Information

NPI: 1730341272
Provider Name: KELLY ANN PETERSOHN, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
6950 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 621-7561
Get Directions

Kelly Ann Petersohn, LCSW is a school social worker in Indianapolis, IN. Kelly Ann Petersohn, LCSW NPI is 1730341272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6950 HILLSDALE CT
INDIANAPOLIS, IN
ZIP 46250-040
Phone: (317) 621-7561
Fax: (317) 621-7608

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School	34006200A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100270530	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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