Individual provider · Type 1 NPI

Tamra J. Peterson, LMSW, CADC

Clinical Social Worker · Pocatello, ID

NPI number 1437785607 Active

Practice location

1246 Yellowstone Ave Bldg F
Pocatello, ID 83201-4374

Fax (208) 237-2646

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11820 (ID)
Clinical Social Worker Primary 1041C0700XLMSW-39018 (ID)

Clinical Social Worker: 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 interpers…

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About NPI 1437785607

Tamra J. Peterson, LMSW, CADC's National Provider Identifier is 1437785607, issued on Mar 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Mar 27, 2020.