Zachary Peterson, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09929242 Issued in CO

Practice address

2305 E Arapahoe Rd Ste 240
Centennial, CO 80122-1565

Phone

(720) 706-2957

NPI assigned

Oct 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: zachary.peterson.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1497396279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018702",
            "telephone_number": "601-988-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E ARAPAHOE RD STE 240",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221565",
            "telephone_number": "720-706-2957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805018702",
            "country_code": "US",
            "telephone_number": "601-988-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ZACHARY",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09929242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk David Peterson, D.C.
• Kristen M Peterson, RN
• Krysta Brown Peterson, RN
• Richard Eric Peterson Jr., MD
• Sarah Michelle Peterson, RBT, BCBA
• Kristen Elizabeth Petrelli, RN, MSN
• Hayley Petrie, RN
• Nicole Rose Petrillo, M.S., BCBA
• Maria F Petroche, DMD
• Erin Pettigrew

• Clinical Social Worker in Centennial, CO
• Providers in Centennial, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.