THOMAS A PEICHEL (NPI# 1811009574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811009574 |
| Entity Type | Individual |
| Full Name | THOMAS A PEICHEL |
| Credential | MA LICSW |
| Practice Address |
7064 W Pt Douglas Rd Ste #201 Cottage Grove MN 55016 |
| Mailing Address |
101 W Pine St Stillwater MN 55082 |
| Practice Telephone | 6514585224 |
| Practice Fax Number | 6514585310 |
| Mailing Telephone | 6514398800 |
| Mailing Fax Number | 6514391040 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW07209 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | LMFT0189 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | HP38609 | 01 |
| MN | BCBS | 130P35PE | 01 |
| MN | BCBS | A8655040 | 01 |
| Street Address |
7064 W PT DOUGLAS RD STE #201 |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| 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 |
|---|---|---|---|---|
| 1588169551 | Michelle Sveiven Smith | Social Worker | 7064 W Point Douglas Rd S Ste 201, Cottage Grove, MN 55016-2691 | 2018-03-29 |
| 1942652201 | Brittany Miskowiec | Social Worker | 8410 Foothill Rd S, Cottage Grove, MN 55016-3223 | 2016-07-11 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1457536278 | True Jacob Thao | Social Worker | 6940 Keats Ave S, Cottage Grove, MN 55016-1311 | 2007-12-31 |
| 1508992363 | Rachel Andrews | Social Worker | 1245 Birch Ave, Cottage Grove, OR 97424-1413 | 2007-02-26 |
| 1598819484 | Kerstin Elizabeth Britz | Social Worker | 37 South. 6th Street, Cottage Grove, OR 97424 | 2007-01-22 |
| 1023102787 | Michele Anne Monroe | Social Worker | 1450 Birch Ave, Cottage Grove, OR 97424-1417 | 2006-10-03 |
| 1912929340 | Jessica Torrey | Social Worker | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2006-07-24 |
| 1992350367 | Kelly Jean Sweeney | Social Worker | 7501 80th St S, Cottage Grove, MN 55016-3020 | 2019-08-02 |
| 1174006431 | Angela Gallagher | Social Worker | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2018-09-12 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on THOMAS A PEICHEL.
| 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.