Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT JOHN PETERSON, LICSW
Active Sole ProprietorROBERT JOHN PETERSON, LICSW is a Clinical Social Worker healthcare provider located in LOON LAKE, Washington. NPI 1922336684 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LOON LAKE, WA
Registration Details
- NPI Number
- 1922336684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2009 (16.722056704321 yrs)
- Last Updated
- Nov 9, 2023
- Licenses
-
60174553 (WA)X-06759 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40647 LAKE RDLOON LAKE, WA, 991489795Browse WA providers · Browse ZIP 99148
- Phone
- 5099395515
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
Other Clinical Social Worker Providers in LOON LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| MICHELLE WOODWARD | LICSW | 1396431219 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.