MELISSA ANNE PETERSON (NPI# 1811211139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811211139 |
| Entity Type | Individual |
| Full Name | MELISSA ANNE PETERSON |
| Credential | LICSW |
| Practice Address |
9909 Clayton Rd Suite Ll2a Saint Louis MO 63124-1120 |
| Practice Telephone | 3146492416 |
| Mailing Telephone | 3146492416 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2016021511 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
115640 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867655 | Melissa Peterson | Social Worker | 400 Hunnewell St Ste 6r, Needham, MA 02494-1360 | 2018-04-05 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1902182835 | Melissa Anne Peterson | Home Health Aide | 3850 Granada Way N, Oakdale, MN 55128-3031 | 2011-10-24 |
| 1912170291 | Melissa Peterson | Physical Therapy Assistant | 5022 S 69th St, Greenfield, WI 53220-4406 | 2008-04-08 |
| 1326646159 | Melissa Peterson | Behavior Technician | 3425 Blake St, Denver, CO 80205-2406 | 2020-10-14 |
| 1194382481 | Melissa Janelle Peterson | Social Worker | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2019-05-22 |
| 1093272148 | Melissa R Peterson | Dental Hygienist | Po Box L, Seldovia, AK 99663-0250 | 2019-02-25 |
| 1669961959 | Melissa Peterson | Physician Assistant | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2018-05-02 |
| 1982106738 | Melissa L Peterson | Nurse Practitioner | 945 N 12th St, Milwaukee, WI 53233-1305 | 2018-03-07 |
| 1245731348 | Melissa Ros4e Peterson | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2018-02-23 |
| Street Address |
9909 CLAYTON RD SUITE LL2A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| 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 |
|---|---|---|---|---|
| 1760097182 | Laura Ranalletta | Social Worker | 877 Queen Anne Pl, Saint Louis, MO 63122-3143 | 2020-09-11 |
| 1861007502 | Helene Foster Platke | Social Worker | 11681 Summerhaven Dr, Saint Louis, MO 63146-5441 | 2020-09-10 |
| 1063027811 | Elizabeth Stonefield | Social Worker | 8188 Middlevalley Trl, Saint Louis, MO 63123-2415 | 2020-09-09 |
| 1770195729 | Kyla Hadenfeldt | Social Worker | 4562a Loughborough Ave, Saint Louis, MO 63116-1131 | 2020-08-20 |
| 1093327587 | Lori B Goldenberg | Social Worker | 3 Winfield Pointe Ln, Saint Louis, MO 63141-7710 | 2020-08-18 |
| 1831701473 | Michael David Galvin | Social Worker | 3425 Humphrey St, Saint Louis, MO 63118-2720 | 2020-08-17 |
| 1265043376 | Matt Fanning | Social Worker | 9378 Olive Blvd Ste 205, Saint Louis, MO 63132-3223 | 2020-08-12 |
| 1235748765 | Celia Rose Mcmanus | Social Worker | 10004 Kennerly Rd Ste 280b, Saint Louis, MO 63128-2177 | 2020-07-30 |
| 1841809019 | Danielle Denise Collins | Social Worker | 12360 Creek Run Dr Apt M, Saint Louis, MO 63141-6579 | 2020-07-23 |
| 1730797176 | Jill Louise Medintz | Social Worker | 130 S Bemiston Ave Ste 704a, Saint Louis, MO 63105-1913 | 2020-07-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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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.