MS. SHOTUNUS DENEAN PETERSON (NPI# 1447435755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447435755 |
| Entity Type | Individual |
| Full Name | MS. SHOTUNUS DENEAN PETERSON |
| Credential | M.S.W |
| Practice Address |
108 N Main St Suite 305 South Bend IN 46601-1625 |
| Practice Telephone | 5742343515 |
| Practice Fax Number | 5742343565 |
| Mailing Telephone | 5742343515 |
| Mailing Fax Number | 5742343565 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW | IN | Behavioral Health & Social Service Providers |
| Street Address |
108 N MAIN ST SUITE 305 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855414 | Kristine A. Thelen | Counselor | 108 N Main St, Suite 305, South Bend, IN 46601-1625 | 2005-07-20 |
| 1588986327 | Sironaj Hindawi | Counselor | 108 N Main St, South Bend, IN 46601-1625 | 2010-02-22 |
| 1538494687 | Deanna J Saylor | Counselor | 108 N Main St, Suite 200, South Bend, IN 46601-1625 | 2009-10-07 |
| 1932340718 | Angela B Mills | Social Worker | 108 N Main St, Suite 200, South Bend, IN 46601-1625 | 2009-03-09 |
| 1376783555 | Idah Gudyanga | Social Worker | 108 N Main St, Suite 305, South Bend, IN 46601-1625 | 2009-02-27 |
| 1548409188 | Frances Marie Touhey | Counselor | 108 N Main St, Suite 305, South Bend, IN 46601-1625 | 2009-02-04 |
| 1265689582 | Antoinette Redding | Counselor | 108 N Main St, South Bend, IN 46601-1625 | 2008-08-19 |
| 1457521502 | Marjorie S Zeitler | Counselor | 108 N Main St, Suite 305, South Bend, IN 46601-1625 | 2008-03-05 |
| 1265626386 | Renee Louise Derosa | Social Worker | 108 N Main St, Suite # 305, South Bend, IN 46601-1625 | 2007-08-31 |
| 1023213790 | Tricia L Wainscott | Social Worker | 108 N Main St, South Bend, IN 46601-1625 | 2007-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396988 | Samantha Morgan Stacy | Social Worker | 115 S Frances St, South Bend, IN 46617-3120 | 2020-02-04 |
| 1265914428 | Paul Brian Sexton | Social Worker | 922 E Wayne St Ste 205, South Bend, IN 46617-3027 | 2018-09-04 |
| 1629570650 | Ellen Jones | Social Worker | 611 Lincoln Way E Ste 200, South Bend, IN 46601-3220 | 2018-03-06 |
| 1265861512 | Tracey Lynn Malesa-wheaton | Social Worker | 429 W Lasalle Ave Apt 2, South Bend, IN 46601-1166 | 2013-11-07 |
| 1356690440 | Kaylie Bruinsma | Social Worker | 415 E. Madison St, South Bend, IN 46617-2322 | 2012-09-05 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1730330721 | Mindy Lynne Gradeless | Social Worker | 229 East Ewing Avenue, South Bend, IN 46613 | 2008-10-08 |
| 1972632826 | Crystal Whitlow | Social Worker | 918 E Jefferson Blvd, South Bend, IN 46617-3104 | 2007-03-05 |
| 1093884579 | Carrie A Sommer | Social Worker | 108 N Main St Ste 200, South Bend, IN 46601-1613 | 2006-11-07 |
| 1841287950 | Amanda Jane Duddleson | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2005-10-04 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MS. SHOTUNUS DENEAN PETERSON.
| 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.