Kathryn Ann Petersen, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

834 S Sherman St
Longmont, CO 80501-6323

Phone

(303) 776-7840

Fax

(303) 776-7161

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790847754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 MADISON AVE APT 313",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032050",
            "telephone_number": "303-776-7840",
            "fax_number": "303-776-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S SHERMAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016323",
            "telephone_number": "303-776-7840",
            "fax_number": "303-776-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Perkins, D.C.
• Danelle Perricelli, PHARM.D.
• Morgan Pertzborn, MA, LPCC
• Peter a. Maves, PH.D, PLLC
• Peter M. Schmid, DO PC LLC
• Riley Michael Richard Petersen, DDS
• Angela M Peterson, PHARM.D.
• Madison Grey Peterson, APRN-CNP
• Michael Peterson, MSPT
• Ralph Lynn Petrilli, M.D.

• Social Worker in Longmont, CO
• Providers in Longmont, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.