Nicole Peterson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW21961 Issued in FL

Practice address

87003 Professional Way
Yulee, FL 32097-3400

Phone

(904) 849-1190

NPI assigned

Aug 27, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicki Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1023925518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87003 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87003 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NICOLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW21961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKI",
            "last_name": "PETERSON",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ayanna Payne
• Susan Pehlke, LPN
• Michelle Lynn Pendleton, APRN
• Roselyn Perez, LCSW
• Mackenzie Jo Pesata, APRN
• Donna Marie Phillips-Hurd, CRNA
• Physicians Group Services PA
• Physicians Group Services PA
• Stephanie Keiko Pickett
• John R Pinkston, MD

• Clinical Social Worker in Yulee, FL
• Providers in Yulee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.