Marlene M Peterson, LCSW
Individual provider Active NPI Clinical Social Worker · Pointblank, TX
NPI 1861675902 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1861675902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12401 (TX)
- Practice address
- 9951 US Highway 190 E
Pointblank, TX 77364-6896 - Phone
- (281) 851-1685
- NPI assigned
- Dec 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12401 | TX | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12401 | TX | Yes |
Addresses
Primary practice location
9951 US Highway 190 E
Pointblank, TX 77364-6896
Mailing address
9951 US Highway 190 E
Pointblank, TX 77364-6896
Phone (281) 851-1685
Other providers in Pointblank, TX
- Anointed Hands Medical Services Inc
- Tyra La'Nese Hightower
- Nancy Moore Johnson
- Lorrie Ann Richardson-Oneal
- Henri Thiberville
- Damita Y White
All providers in Pointblank, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.