KIMBERLY PETERS (NPI# 1265885065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265885065 |
| Entity Type | Individual |
| Full Name | KIMBERLY PETERS |
| Credential | LCSW |
| Practice Address |
4035 12th St Cut Off Se Ste 140 Salem OR 97302-1754 |
| Mailing Address |
1380 Hines St Se Salem OR 97302-2528 |
| Practice Telephone | 5039997670 |
| Mailing Telephone | 9713389338 |
| Mailing Fax Number | 8556510575 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L8492 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500712083 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485164 | Kimberly S. Peters | Nurse Practitioner | 915 S Laredo St, San Antonio, TX 78204-3211 | 2019-12-27 |
| 1134512734 | Kimberly Peters | Registered Nurse | 2801 E Avery Dr, F15, Palm Springs, CA 92264-8700 | 2015-03-06 |
| 1083036107 | Kimberly Ann Peters | Behavioral Analyst | 3602 Cypress St Ste D, West Monroe, LA 71291-7314 | 2014-01-08 |
| 1194166306 | Kimberly Anne Peters | Dentist | 1253 Commercial Dr Sw, Conyers, GA 30094-5987 | 2013-07-16 |
| 1538485370 | Kimberly Sue Peters | Counselor | 303 E Wood St Ste A, Decatur, IL 62523-1289 | 2010-04-19 |
| 1922323880 | Kimberly Ann Peters | Counselor | 308 E. Young St., Elma, WA 98541 | 2010-04-05 |
| 1003042284 | Kimberly Scott Peters | Chiropractor | 315 N Loop Dr, Camarillo, CA 93010-1225 | 2009-06-02 |
| 1285680462 | Kimberly Marie Peters | Physical Therapist | 3921 Sunset Ridge Rd, Suite 101, Raleigh, NC 27607-6677 | 2006-05-26 |
| 1265050454 | Kimberly Peters | Behavior Technician | 1818 S Australian Ave, West Palm Beach, FL 33409-6452 | 2020-07-14 |
| 1699329359 | Kimberly Peters | Social Worker | 1311 Foster Ave, Brooklyn, NY 11230-1511 | 2019-07-30 |
| Street Address |
4035 12TH ST CUT OFF SE STE 140 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1891321360 | Jacqueline Alice Senn | Social Worker | 5 Dove Ave, Salem, MA 01970-2944 | 2020-03-17 |
| 1336775113 | Karen A. Chambers Msw, Lcsw | Social Worker | 910 Capitol St Ne Ste D, Salem, OR 97301-1201 | 2020-03-12 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1144860958 | Be Still and Grow | Social Worker | 1265 Waller St Se, Salem, OR 97302-2830 | 2020-01-09 |
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1205489531 | Melissa Whitney Humphries | Social Worker | 375 Taylor St Ne Bldg 1, Salem, OR 97301-8340 | 2019-07-16 |
| 1265091656 | Kimberly Ann Nixon | Social Worker | 4236 Bluff Ave Se, Salem, OR 97302-1812 | 2019-06-10 |
| 1548732183 | Angela Jameson | Social Worker | 1970 Roanoke Blvd Bldg 8, Salem, VA 24153-6404 | 2018-12-20 |
| 1346718780 | Julie N Tapper | Social Worker | 211 Lafayette St, Salem, MA 01970-4769 | 2018-11-04 |
| Find all providers in SALEM | ||||
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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.