Robert John Peterson, LICSW
Clinical Social Worker · Loon Lake, WA
Practice location
40647 Lake RdLoon Lake, WA 99148-9795
- Phone
- (509) 939-5515
NPI record
- NPI
- 1922336684
- Entity type
- Individual (Type 1)
- Enumeration date
- November 18, 2009
- Last updated
- November 9, 2023
- Certified
- November 9, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
60174553 | WA |
| Social Worker | 104100000X |
X-06759 | NM |
Other practice locations (1)
- 200 Center St, Moriarty, NM 87035-2000 · (505) 832-5817
About Robert Peterson
Robert John Peterson, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 40647 Lake Rd, Loon Lake, WA 99148-9795. The NPI number 1922336684 was assigned on November 18, 2009 and the record was last updated on November 9, 2023.
Robert Peterson lists 2 licenses in the registry: #60174553 (WA) for Clinical Social Worker; #X-06759 (NM) 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 Robert John Peterson, LICSW?
The NPI number is 1922336684.
What is the phone number of Robert Peterson?
The phone number listed for the practice location is (509) 939-5515.
Where is Robert Peterson located?
40647 Lake Rd, Loon Lake, WA 99148-9795.
What is the taxonomy code for Robert Peterson?
The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.
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.
Other Clinical Social Worker providers in Loon Lake
- Michelle Woodward, LICSW46621 Cedar Beau Rd