Active NPI
Michele Peterson LCSW a Licensed Clinical Social Worker Corporation
- Clinical Social Worker
- Temecula, CA
National Provider Identifier
1043036775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MICHELE PETERSON LCSW A LICENSED CLINICAL SOCIAL WORKER CORPORATION
- Practice address
- 27349 Jefferson Ave Ste 102
Temecula, CA 92590-5611 - Phone
- (619) 354-3812
- NPI assigned
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Peterson, LCSW
- Title
- President
- Phone
- (435) 817-7004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
27349 Jefferson Ave Ste 102
Temecula, CA 92590-5611
Mailing address
24329 Bay Laurel Ave
Murrieta, CA 92562-2163
Phone (435) 817-7004
Other names 1
- Michele Peterson LCSW
National Provider Directory
National Provider DirectoryLocations
29970 Technology Dr
Ste 216
Murrieta, CA 92563
Phone (619) 354-3812
27349 Jefferson Ave
Ste 102
Temecula, CA 92590
Phone (619) 354-3812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1043036775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24329 BAY LAUREL AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925622163",
"telephone_number": "435-817-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27349 JEFFERSON AVE STE 102",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905611",
"telephone_number": "619-354-3812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE PETERSON LCSW A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-26",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-817-7004",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michele Peterson LCSW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.