CAROLYN PETERSON (NPI# 1033406509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033406509 |
| Entity Type | Individual |
| Full Name | CAROLYN PETERSON |
| Credential | LCSW |
| Practice Address |
610 Campus Dr Abingdon VA 24210-2589 |
| Practice Telephone | 2765251587 |
| Practice Fax Number | 2765251609 |
| Mailing Telephone | 2765251587 |
| Mailing Fax Number | 2765251609 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001654 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569696 | Carolyn N. Peterson | Dietitian, Registered | 1615 Waybridge Ln, Apt 1e, Charlotte, NC 28210-5769 | 2016-10-19 |
| 1215332846 | Carolyn Peterson | Speech-Language Pathologist | 239 Grannys Garden Rd, Libby, MT 59923-9218 | 2014-10-24 |
| 1922340157 | Carolyn Peterson | Counselor | 14623 Ne North Woodinville Way, Suite #106, Woodinville, WA 98072-8475 | 2013-03-26 |
| 1548442874 | Carolyn Ann Peterson | Psychologist | 3215 Fortune Ct, Auburn, CA 95602-9245 | 2007-11-28 |
| 1750792669 | Carolyn M Peterson | Family Medicine | 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 | 2014-05-13 |
| 1770814485 | Carolyn S Peterson | Social Worker | 2092 S Custer Rd, Monroe, MI 48161-1831 | 2010-01-20 |
| 1285802017 | Carolyn Peterson | Licensed Practical Nurse | 301 Andrews Ave, Ft. Rucker, AL 36362 | 2008-02-14 |
| 1477535334 | Carolyn G Peterson | Physician Assistant | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-16 |
| Street Address |
610 CAMPUS DR |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-2589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396774147 | Highlands Community Services | Community/Behavioral Health | 610 Campus Dr, Suite 210, Abingdon, VA 24210-2589 | 2006-07-02 |
| 1245846674 | Dawnyell Wells | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-09-21 |
| 1578179560 | Heather Jewell | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-09-16 |
| 1497369557 | Nathan Edward Ott | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-09-04 |
| 1508477274 | Ashley L Greenway | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-08-14 |
| 1497384218 | Stephanie N Ervin | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-04-03 |
| 1083244099 | Camille Hoffman Kingsolver | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-01-17 |
| 1922662469 | Catherine Cotter | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2019-04-30 |
| 1023672755 | Lynn Heath Rasnake | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2019-04-29 |
| 1780248377 | Cornelia R Scott | Social Worker | 610 Campus Dr, Abingdon, VA 24210-2589 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215590765 | Umoh Samuel Oduok | Social Worker | 3312 Trellis Ln, Abingdon, MD 21009-2878 | 2019-04-19 |
| 1699131177 | Beverly Carol Robinette | Social Worker | 468 E Main St Ste 200, Abingdon, VA 24210-3512 | 2016-01-13 |
| 1316375272 | Katherine Marie Cernak | Social Worker | 661 Kirkcaldy Way, Abingdon, MD 21009-2417 | 2013-10-30 |
| 1174896641 | Billie Jeanette Hunt Lcsw PC | Social Worker | 325 Cummings St, Suite 4, Abingdon, VA 24210-3207 | 2012-02-14 |
| 1639302540 | Brian William Nelson | Social Worker | 3320 Midland Ct, Abingdon, MD 21009-2505 | 2009-08-25 |
| 1265608095 | Bonnie Hird Jessee | Social Worker | 26054 Cornelius Dr, Abingdon, VA 24211-6362 | 2008-05-01 |
| 1265633622 | Victoria Lynn Mccall | Social Worker | 1004 Towson Dr, Abingdon, MD 21009-3011 | 2007-05-31 |
| 1396888335 | Patricia Ann Jackson | Social Worker | 420 Mink Pl, Abingdon, VA 24210-3426 | 2007-02-15 |
| 1861535254 | Michael L. Keohane | Social Worker | 27018 Lee Hwy, Abingdon, VA 24211-7512 | 2007-02-15 |
| 1841366705 | Patricia E Buston | Social Worker | 350 Russell Rd., Abingdon, VA 24212-1128 | 2006-11-24 |
| Find all providers in ABINGDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.