Active NPI
Cheri Ann Peterson, LCSW,LMFT, LAC
- Clinical Social Worker
- Choteau, MT
National Provider Identifier
1861402109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWP-LCSW-LIC-709
- Practice address
- 21 1St St NW # 2
Choteau, MT 59422-9423 - Phone
- (406) 868-6902
- NPI assigned
- Aug 9, 2006
- Last updated
- Jun 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-LAC-LIC-1065 | MT | |
| Clinical Social Worker | 1041C0700X | LCSW-760 | WY | |
| Clinical Social Worker | 1041C0700X | L7004 | OR | |
| Clinical Social Worker | 1041C0700X | SWP-LCSW-LIC-709 | MT | Primary |
| Marriage & Family Therapist | 106H00000X | SWP-LMFT-LIC-91 | MT |
Addresses
Primary practice location
21 1St St NW # 2
Choteau, MT 59422-9423
Mailing address
PO Box 727
Bynum, MT 59419-0727
Phone (406) 868-6902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-1065 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| SWP-LCSW-LIC-709 | MT | MD | Clinical Social Worker |
| L7004 | OR | MD | Clinical Social Worker |
| LCSW-760 | WY | MD | Clinical Social Worker |
| SWP-LMFT-LIC-91 | MT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1861402109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "BYNUM",
"state": "MT",
"postal_code": "594190727",
"telephone_number": "406-868-6902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 1ST ST NW # 2",
"city": "CHOTEAU",
"state": "MT",
"postal_code": "594229423",
"telephone_number": "406-868-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CHERI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW,LMFT, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-LAC-LIC-1065",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WY",
"license": "LCSW-760",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7004",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "SWP-LCSW-LIC-709",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MT",
"license": "SWP-LMFT-LIC-91",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Choteau, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.