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MR. A PERRIN PETERSON ACSW LCSW NPI 1285652370


NPI Information

NPI: 1285652370
Provider Name: MR. A PERRIN PETERSON, ACSW, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
27192 SAN MARINO DR
PUNTA GORDA, FL
ZIP 33983
Phone: (941) 626-8363
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MR. A Perrin Peterson, ACSW, LCSW is a clinical social worker in Punta Gorda, FL. The provider is 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. MR. A Perrin Peterson, ACSW, LCSW NPI is 1285652370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27192 SAN MARINO DR
PUNTA GORDA, FL
ZIP 33983-127
Phone: (941) 626-8363

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLC9524MAINENo
21041C0700XSocial WorkerClinicalSW7101FLORIDAYes
31041C0700XSocial WorkerClinicalCSW002292GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1412090099MEDICAIDMAINE
2ME0914MEDICARE ID-TYPE UNSPECIFIEDMAINEOUTPATIENT BEHAVIORAL HEA
3P92908MEDICARE UPINFLORIDA
4U0937AMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
5Z034MOTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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