REBECCA LEE PETERSEN


Address: 147 Durham Rd, Oak Park, Madison, CT 06443-2675
Phone: 8602276839

REBECCA LEE PETERSEN (NPI# 1124352174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124352174
Entity Type Individual
Full Name REBECCA LEE PETERSEN
Practice Address 147 Durham Rd
Oak Park
Madison
CT 06443-2675
Mailing Address 1 Vaccinium Way
Old Lyme
CT 06371-2809
Practice Telephone 8602276839
Practice Fax Number 8602276839
Mailing Telephone 8602276839
Enumeration Date 2009-09-23
Last Update Date 2014-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
008697 CT Behavioral Health & Social Service Providers

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1962835157 Rebecca Petersen Pharmacist 770 S 400 E Apt 50, Brigham City, UT 84302-3351 2013-08-12
1306403183 Rebecca Jarratt Petersen Student in an Organized Health Care Education/Training Program 1400 W 22nd St, Sioux Falls, SD 57105-1554 2019-05-28
1396262226 Rebecca Petersen Behavior Technician 1875 S Geneva Rd, Orem, UT 84058-2217 2017-08-22
1902349947 Rebecca Jo Petersen Nurse Practitioner 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2016-11-23
1851666168 Rebecca Jean Petersen Obstetrics & Gynecology 701 Park Ave, Mailcode P5, Department of Ob/gyn, Minneapolis, MN 55415-1623 2012-03-20
1205125952 Rebecca Y. Petersen Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2011-04-04
1336442144 Rebecca A Petersen Nurse Anesthetist, Certified Registered 1406 6th Ave N, Saint Cloud, MN 56303-1900 2010-12-16
1871760280 Rebecca Prince Petersen Surgery 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 2008-05-14

Office Location

Street Address 147 DURHAM RD
OAK PARK
City MADISON
State CT
Zip Code 06443-2675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922022359 Susan M. James Clinical Nurse Specialist 147 Durham Rd, Oak Park, Madison, CT 06443-2675 2006-07-27
1730679861 Maryann Y Grimaldi Lmft, LLC Marriage & Family Therapist 147 Durham Rd, Madison, CT 06443-2675 2018-05-15
1417329954 Jennifer Rebecca Brant Social Worker 147 Durham Rd, Suite 1, Madison, CT 06443-2675 2015-10-23
1437535580 Rebecca L. Petersen, Lcsw, LLC Social Worker 147 Durham Rd, Oak Park, Madison, CT 06443-2675 2015-07-30
1003187196 Ryan Shook Counselor 147 Durham Rd, Madison, CT 06443-2675 2012-01-20
1003126491 Greta E Macmillan Social Worker 147 Durham Rd, Madison, CT 06443-2675 2010-10-19
1306159405 Townshend-lacock, Inc. Social Worker 147 Durham Rd, Madison, CT 06443-2675 2010-07-17
1316133606 Linda Ruth Nickerson Psychologist 147 Durham Rd, Madison, CT 06443-2675 2007-09-20
1861684151 Maryann Y Grimaldi Marriage & Family Therapist 147 Durham Rd, Madison, CT 06443 2007-08-10
1710183546 Cynthia Townshend-lacock Psychologist 147 Durham Rd, Madison, CT 06443-2675 2007-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194127506 Heather R. Clinton Social Worker 847 West Main Street, Suite 3, Branford, CT 06443 2014-09-17
1477973378 Katrina Louise Furey Psychiatry & Neurology 147 Durham Rd Ste 12a-ne, Madison, CT 06443 2014-04-18
1972920114 Elizabeth Laberee Internal Medicine 80 Devonshire Lane, Madison, CT 06443 2014-03-26
1588007314 Avery Grauer Psychiatry & Neurology 175 Copse Road, Madison, CT 06443 2013-04-11
1295077790 Gordon Seth Cohen Pathology 3 Silo Hill Road, Madison, CT 06443 2013-03-22
1073750493 Darlene F. Talavera Occupational Therapist 22 Overshore Drive, Madison, CT 06443 2009-01-08
1013182518 Susan Jean Isaac Social Worker 105 Winding Road, Unit 2, Madison, CT 06443 2008-04-25
1083893606 Kornelia Keszler, Md, PC Internal Medicine 1-b Meigswood Ave, Madison, CT 06443 2007-10-31
1811181126 Traci Marando Nurse Practitioner 20 Madrina Lane, Madison, CT 06443 2007-08-29
1790803419 Linda L. Young Social Worker 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 2007-03-27
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306446257 Richard Harry Goldberg Social Worker 1514 Wood Ln, Madison, WI 53705-1457 2020-10-29
1710586219 Megan Beckler Social Worker 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 2020-10-26
1003436759 Creating Space, LLC Social Worker 1915 Winnebago St Ste 101, Madison, WI 53704-5322 2020-04-23
1871143370 Cecilia Goldschmidt Social Worker 2445 Darwin Rd Ste 15, Madison, WI 53704-3116 2019-09-17
1699321760 Golden Vibes Counseling Center Social Worker 303 S Paterson St, Madison, WI 53703-4528 2019-08-14
1285293530 Bianca Whitney Social Worker 506 Charles Ln, Madison, WI 53711-1312 2019-06-11
1598322505 Judith Coursen Stevens Social Worker 147 Durham Road, Madison, CT 06443-1262 2019-05-24
1750840575 Kimberly Michelle Horton Social Worker 102 Crabapple Grv, Madison, MS 39110-7098 2019-03-19
1497211387 Latasha Monique Williams Social Worker Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 2019-02-15
1528536976 Emily Elizabeth Morris Social Worker 4002 Nakoosa Trl, Madison, WI 53714-1314 2018-11-04
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Competitor

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City MADISON
Zip Code 06443

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Dataset Information

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.

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