HAROLD LARS PETERSON


Address: 1301 Center St, Des Moines, IA 50309-1004
Phone: 5152435181

HAROLD LARS PETERSON (NPI# 1295175685) 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) 1295175685
Entity Type Individual
Full Name HAROLD LARS PETERSON
Credential LMSW
Practice Address 1301 Center St
Des Moines
IA 50309-1004
Mailing Address 945 19th St
Des Moines
IA 50314-1117
Practice Telephone 5152435181
Practice Fax Number 5152432760
Mailing Telephone 5152410982
Mailing Fax Number 5152410993
Enumeration Date 2013-06-28
Last Update Date 2013-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
008202 IA Behavioral Health & Social Service Providers

Office Location

Street Address 1301 CENTER ST
City DES MOINES
State IA
Zip Code 50309-1004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982657490 Eyerly Ball Community Mental Health Services Clinic/Center 1301 Center St, Des Moines, IA 50309-1004 2006-05-18
1366042251 Meghann A. Hart Social Worker 1301 Center St, Des Moines, IA 50309-1004 2020-10-29
1144873282 Kennedy Laville Thoren Registered Nurse 1301 Center St, Des Moines, IA 50309-1004 2019-07-18
1710549894 Veronica Holloway Nurse Practitioner 1301 Center St, Des Moines, IA 50309-1004 2019-06-28
1023581451 Marshall Dean Abbe IIi Social Worker 1301 Center St, Des Moines, IA 50309-1004 2019-01-08
1215423348 Kimberly Kaye Wilson Social Worker 1301 Center St, Des Moines, IA 50309-1004 2018-07-01
1053808006 Marisa Catherine Mickunas Counselor 1301 Center St, Des Moines, IA 50309-1004 2018-04-16
1265964761 Kimberlee Gregory Social Worker 1301 Center St, Des Moines, IA 50309-1004 2017-04-03
1306386313 John Francis Morrow Social Worker 1301 Center St, Des Moines, IA 50309-1004 2017-02-24
1255662193 Jane A Koster Social Worker 1301 Center St, Des Moines, IA 50309-1004 2010-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972126894 Marie Danielle Leblanc Surgery Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 2020-05-27
1538710421 Macy Mckendree Social Worker 918 Se 11th St., Des Moines, IA 50309 2019-09-23
1750938825 Paradocs Psychological Services Clinic/Center 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 2019-08-22
1003315011 Hyvacs, LLC Durable Medical Equipment & Medical Supplies 215 10th St Ste 110, Des Moines, IA 50309 2018-02-05
1770005746 Jacob Michael Boyle Chiropractor 500 Sw 7th St Ste 205, Des Moines, IA 50309 2017-07-12
1831646140 Innovative Transport Enterprise, LLC Non-emergency Medical Transport (VAN) 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 2016-09-02
1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1104204056 Andrea Lynn Jones Social Worker 600 E Court Ste 200, Des Moines, IA 50309 2015-05-12
1811388937 Matthew Zirretta Physical Therapist 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 2015-02-11
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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
1891321998 Christopher Kingsley Social Worker 3600 30th St Bldg 3, Des Moines, IA 50310-5753 2020-03-20
1477183119 Certintell, Inc. Social Worker 317 6th Ave Ste 901, Des Moines, IA 50309-4120 2020-01-22
1043879513 Matthew Hotek Social Worker 600 E Court Ave Ste 200, Des Moines, IA 50309-2058 2019-06-10
1114483997 Tiffany Elizabeth Martinez Social Worker 22525 Marine View Dr S Ste 200, Des Moines, WA 98198-6879 2019-02-15
1104398395 Erin Grace Suchy-johnson Social Worker 3900 Ingersoll Ave Ste 201, Des Moines, IA 50312-3551 2018-12-28
1386146678 Meditelecare of Iowa Pllc Social Worker 400 E Court Ave Ste 110, Des Moines, IA 50309-2027 2018-03-02
1912428970 Lindsey Marie Hoodjer Social Worker 3850 Merle Hay Rd Ste 357, Des Moines, IA 50310-1330 2017-06-29
1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1730560939 Thriving Families Counseling Services Social Worker 333 Sw 9th St Ste J, Des Moines, IA 50309-4440 2015-06-12
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Competitor

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City DES MOINES
Zip Code 50309

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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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