Organization Active NPI

Michele Peterson LCSW a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1043036775
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 11, 2025

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.