Rachel April Peterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000005486 Issued in TN

Practice address

82 Amber LN
McMinnville, TN 37110-5357

Phone

(931) 224-6684

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1366719510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 AMBER LN",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105357",
            "telephone_number": "931-224-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 AMBER LN",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105357",
            "telephone_number": "931-224-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RACHEL",
        "middle_name": "APRIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000005486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pepper Branch Physician Services, PC
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• Sheila Deneen Pertiller, MD
• Peterson Bone and Joint Institute PC
• Jeffrey Scott Peterson, D.O.
• Pharmacists Home Medical Equipment LLC
• Pioneer Pediatrics, PLLC
• Garry Brandon Potter, PHARM.D.
• Michael Questell, D.O.
• R & R Imaging, Inc

• Clinical Social Worker in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.