James Martin Petersen, BASW, CCM, CBIST

Social Worker · Whitehall, MI

Individual Active NPI

NPI number 1467087494

Practice location

137 Holton Whitehall Rd
Whitehall, MI 49461-9543
Phone
(231) 893-1462

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NPI record

NPI
1467087494
Entity type
Individual (Type 1)
Enumeration date
March 10, 2020
Last updated
March 10, 2020
Certified
March 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 6802010722 MI

Mailing address

PO Box 281
Whitehall, MI 49461-0281
Phone
(231) 893-1462

About James Petersen

James Martin Petersen, BASW, CCM, CBIST is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 137 Holton Whitehall Rd, Whitehall, MI 49461-9543. The NPI number 1467087494 was assigned on March 10, 2020 and the record was last updated on March 10, 2020.

James Petersen lists a license in the registry: #6802010722 (MI) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Martin Petersen, BASW, CCM, CBIST?

The NPI number is 1467087494.

What is the phone number of James Petersen?

The phone number listed for the practice location is (231) 893-1462.

Where is James Petersen located?

137 Holton Whitehall Rd, Whitehall, MI 49461-9543.

What is the taxonomy code for James Petersen?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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