BETSY PACK PETERSEN LMSW NPI 1952852436

NPI Information

NPI: 1952852436
Provider Name: BETSY PACK PETERSEN, LMSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2267 TETON PLZ
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 522-0140
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Betsy Pack Petersen, LMSW is a counselor in Idaho Falls, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Betsy Pack Petersen, LMSW NPI is 1952852436. 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:

2267 TETON PLZ
IDAHO FALLS, ID
ZIP 83404-486
Phone: (208) 522-0140
Fax: (208) 524-7335

The enumeration date for this NPI number is 10/19/2016 and was last updated on 9/21/2018.

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	License Number	License State	Primary
1	104100000X	Social Worker	LMSW-38030	IDAHO	No
2	104100000X	Social Worker	10930 (LMSW)	TENNESSEE	No
3	101Y00000X	Counselor	LMSW-38030	IDAHO	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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