JENNIFER PETERSON LICSW NPI 1376076000

NPI Information

NPI: 1376076000
Provider Name: JENNIFER PETERSON, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA
ZIP 99212
Phone: (509) 926-0229
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Jennifer Peterson, LICSW is a mental health counselor in Spokane Valley, WA. Jennifer Peterson, LICSW NPI is 1376076000. 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:

511 N ARGONNE RD STE 201
SPOKANE VALLEY, WA
ZIP 99212-878
Phone: (509) 926-0229

The enumeration date for this NPI number is 4/10/2017 and was last updated on 9/9/2022.

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	101YM0800X	Counselor	Mental Health	SC 60726293	WASHINGTON	No
2	1041C0700X	Social Worker	Clinical	LW60888542	WASHINGTON	No
3	101YM0800X	Counselor	Mental Health	LW60888542	WASHINGTON	Yes

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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