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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
008697 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
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 |
Street Address |
147 DURHAM RD OAK PARK |
City | MADISON |
State | CT |
Zip Code | 06443-2675 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 06443 |
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] |
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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 |
Find all providers in MADISON |
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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.