JACQUELINE ALYSE PETERSON (NPI# 1518339399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518339399 |
| Entity Type | Individual |
| Full Name | JACQUELINE ALYSE PETERSON |
| Credential | MSW, LCSW |
| Practice Address |
1419 Main St Torrington WY 82240-3340 |
| Practice Telephone | 3075324197 |
| Practice Fax Number | 3075328405 |
| Mailing Telephone | 3075324197 |
| Mailing Fax Number | 3075328405 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-1197 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942413455 | Jacqueline Cochrane Peterson | Physical Therapist | 17 Cheese Factory Rd, Honeoye Falls, NY 14472-9318 | 2007-05-08 |
| 1538606694 | Jacqueline Peterson | Chiropractor | 404 Wisconsin Ave, Amery, WI 54001-1071 | 2017-01-27 |
| 1972960110 | Jacqueline M Peterson | Nurse Practitioner | 15 Old Rollinsford Rd Ste 102, Dover, NH 03820-2869 | 2016-01-19 |
| 1992967459 | Jacqueline Nicole Peterson | Counselor | 6160 Mission Gorge Rd, 200, San Diego, CA 92120-3410 | 2008-06-26 |
| 1609079847 | Jacqueline Peterson | Marriage & Family Therapist | 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104-1087 | 2007-06-06 |
| Street Address |
1419 MAIN ST |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013556786 | Jodee Mendez | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2019-12-30 |
| 1710524178 | Alaria Ruth Schnase | Social Worker | 1419 Main St, Torrington, WY 82240-3340 | 2019-12-04 |
| 1124679196 | Jeanette Elaine Bilstein | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2019-09-21 |
| 1861995433 | Tracy Lynette Pannunzio | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2018-03-09 |
| 1881010379 | Phillip Lukalu | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2014-03-09 |
| 1184977373 | Debra Floyd | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2012-10-25 |
| 1659631158 | Jeanie R Shimmin | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2012-05-18 |
| 1255600573 | Alexandra Klein | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2011-12-15 |
| 1720364847 | Laura Marie Wielechowski | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2011-11-02 |
| 1316249477 | Edward O'conor | Counselor | 1419 Main St, Torrington, WY 82240-3340 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| 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 |
|---|---|---|---|---|
| 1316548290 | Katherine Ducharme Lcsw | Social Worker | 370 High St Apt 3, Torrington, CT 06790-6381 | 2020-11-05 |
| 1982168308 | Erica Kane | Social Worker | 663 E Main St Ste 3&4, Torrington, CT 06790-5665 | 2019-01-30 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1578913364 | Paulette Spagnolo | Social Worker | 36 Jardon St, Torrington, CT 06790-3204 | 2016-06-13 |
| 1992161681 | A Healthy Mind LLC | Social Worker | 100 Migeon Ave, Torrington, CT 06790-4861 | 2016-01-11 |
| 1508242421 | The Lotus Blossom Wellness, LLC | Social Worker | 24 Water St, Torrington, CT 06790-5318 | 2015-08-03 |
| 1861876799 | Kasandra Marbury | Social Worker | 30 Peck Rd Bldg 2, Torrington Clinical Services, Torrington, CT 06790-6123 | 2015-07-09 |
| 1982010849 | Tina Severy | Social Worker | 847 E Main St, Torrington, CT 06790-3916 | 2014-07-10 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1356766562 | Ashley Gille | Social Worker | 27 Linton St, Torrington, CT 06790-6097 | 2014-02-25 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 82240 |
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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.