MONIQUE LOLITA PETERSON (NPI# 1649650060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649650060 |
| Entity Type | Individual |
| Full Name | MONIQUE LOLITA PETERSON |
| Other Name | MONIQUE LOLITA FIELDS |
| Credential | LICSW |
| Practice Address |
4040 Memorial Pkwy Sw Bldg 1 Huntsville AL 35802-4326 |
| Practice Telephone | 2565331970 |
| Practice Fax Number | 2563410747 |
| Mailing Telephone | 2565331970 |
| Mailing Fax Number | 2563410747 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 2586G | AL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4292C | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 330000014 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1307 E Elm St, Athens, AL 356115318 | 2562323661 | 2563410747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750425203 | Monique Peterson | Physical Therapist | 18377 Beach Blvd, Suite 216, Huntington Beach, CA 92648-1381 | 2007-02-17 |
| Street Address |
4040 MEMORIAL PKWY SW BLDG 1 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| 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 |
|---|---|---|---|---|
| 1225637978 | Authentic Counseling Services, LLC | Social Worker | 3605 Governors Dr Sw Unit 7312, Huntsville, AL 35807-5062 | 2020-10-23 |
| 1366053795 | Jeronica D Frierson | Social Worker | 121 Rose Dr, Huntsville, AL 35811-9015 | 2020-08-10 |
| 1982249421 | Shirlene Allyson Briggs | Social Worker | 3202 Clifford Rd Nw, Huntsville, AL 35810-2912 | 2019-11-07 |
| 1629553482 | Journey To New Beginnings | Social Worker | 2901 Fairbanks Drive, Huntsville, AL 35816 | 2018-09-27 |
| 1396229431 | Serenity Solutions Behavioral Health LLC | Social Worker | 115 Longwood Dr Sw Ste D, Huntsville, AL 35801-4500 | 2018-09-24 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1831696608 | Jessica Zimmermann | Social Worker | 7800 Madison Blvd Ste 705, Huntsville, AL 35806-2049 | 2018-04-09 |
| 1083127021 | Juliet Latanya Wise | Social Worker | 2700 Fairbanks St Nw, Huntsville, AL 35816-2432 | 2017-11-13 |
| 1184151789 | Denise B. Mullaney | Social Worker | 333 Franklin St Se Ste 300, Huntsville, AL 35801-4264 | 2017-05-15 |
| 1427503382 | Adriane Michelle Howard | Social Worker | 2335 Pansy St Sw, Huntsville, AL 35801-3828 | 2016-08-22 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
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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.