MS. JATIA PETERSON (NPI# 1972840114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972840114 |
| Entity Type | Individual |
| Full Name | MS. JATIA PETERSON |
| Credential | LMSW |
| Practice Address |
620 Erie Blvd W Suite 208 Syracuse NY 13204-2445 |
| Practice Telephone | 3154727363 |
| Mailing Telephone | 3154727363 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 088378 | NY | Behavioral Health & Social Service Providers |
| Street Address |
620 ERIE BLVD W SUITE 208 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902920804 | Richard Alan Craybas | Dentist | 620 Erie Blvd W, #310, Syracuse, NY 13204-2445 | 2007-03-17 |
| 1841890084 | Katharine O'connell | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-10-27 |
| 1215569363 | Michelle Lynn Warner | Marriage & Family Therapist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-02-06 |
| 1306498480 | Joshua Paul Doyle | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2019-07-10 |
| 1871071134 | Victoria Pauldine | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-07-30 |
| 1538656673 | Bethany Ann Pecora-sanefski | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-04-14 |
| 1538697925 | Kelly Marie Coggen | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2017-05-30 |
| 1336696525 | Megan Furco | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-09-06 |
| 1194271353 | Melissa Reilly | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-08-28 |
| 1346693215 | Laura Cathleen Hruska | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
|---|---|---|---|---|
| 1801495429 | Keshari Kharka | Social Worker | 143 Cadillac St, Syracuse, NY 13208-1848 | 2020-10-23 |
| 1427656974 | Lisa Jean Joyce | Social Worker | 518 Standish Dr, Syracuse, NY 13224-2016 | 2020-10-15 |
| 1740897842 | Phyllis Arlene Riles | Social Worker | 112 Jericho Dr, Syracuse, NY 13210-3555 | 2020-09-23 |
| 1063021426 | Marci Jo Detorio | Social Worker | 215 Hartson St, Syracuse, NY 13204-3407 | 2020-07-30 |
| 1508484940 | Emily Rose Carlson | Social Worker | 106 Edgemont Dr, Syracuse, NY 13214-2011 | 2020-07-13 |
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1043836604 | Deanne Day | Social Worker | 256 Stafford Ave, Syracuse, NY 13206-3311 | 2020-06-19 |
| 1316570047 | Daritza Peguero | Social Worker | 204 Boston St, Syracuse, NY 13206-2528 | 2020-02-21 |
| 1851930481 | Sarah O'meara | Social Worker | 204 Dorchester Ave Apt 2a, Syracuse, NY 13203-1417 | 2019-12-30 |
| 1871137398 | Corinne Dilaura | Social Worker | 600 E Genesee St Ste 130, Syracuse, NY 13202-3101 | 2019-10-29 |
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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.