Corene Peterson
Clinical Social Worker
1565 E Lincoln Rd
Idaho Falls
, Idaho 83401-2129
Corene Peterson
Clinical Social Worker
1565 E Lincoln Rd
Idaho Falls
, Idaho 83401-2129
(208) 524-1205
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Corene Peterson
- 1565 E Lincoln Rd
- Idaho Falls, ID
- Zip : 83401-2129
- Fax : (208) 524-1205
- Phone : (208) 524-8996
Second Address
- Corene Peterson
- 1565 E Lincoln Rd
- Idaho Falls, ID
- Zip : 83401-2129
- Fax : (208) 524-1205
- Phone : (208) 524-8996
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | LCSW-34038 | ID |
National Provider Identifier
| NPI | 1003188897 |
|---|---|
| Provider Name | Corene Peterson |
| First Address | Idaho Falls, ID 83401-2129 |
| Second Address | Idaho Falls, ID 83401-2129 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2012 |
| Last Update Date | 10/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.