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MICHELLE PETERSON NPI 1700545902


NPI Information

NPI: 1700545902
Provider Name: MICHELLE PETERSON
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
11512 B AVE
AUBURN, CA
ZIP 95603
Phone: (530) 886-2926
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Michelle Peterson is a clinical social worker in Auburn, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Michelle Peterson NPI is 1700545902. 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:

11512 B AVE
AUBURN, CA
ZIP 95603-605
Phone: (530) 886-2926

The enumeration date for this NPI number is 12/15/2021 and was last updated on 11/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health98823CALIFORNIANo
2104100000XSocial Worker98823CALIFORNIANo
31041C0700XSocial WorkerClinical98823CALIFORNIANo
41041C0700XSocial WorkerClinical119345CALIFORNIAYes

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

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