Robert John Peterson, LICSW is a
Social Worker - Clinical based in Loon Lake, Washington. Robert John Peterson is licensed to practice in Washington (license number 60174553) and his current practice location is
40647 Lake Rd, Loon Lake, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 939-5515.
NPI number for Robert John Peterson is 1922336684 and his current mailing address is 40647 Lake Rd, Loon Lake, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922336684.
Healthcare Provider's Profile
Full Name | Robert John Peterson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 40647 Lake Rd, Loon Lake, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922336684
- Provider Enumeration Date: 11/18/2009
- Last Update Date: 11/09/2023
Medical Identifiers
Medical identifiers for Robert John Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922336684 | NPI | - | NPPES |
336712 | Other | NM | PED LICENSE |
X-06759 | Other | NM | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 60174553 (Washington) | Primary |
104100000X | Social Worker | X-06759 (New Mexico) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert John Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert John Peterson, LICSW 40647 Lake Rd, Loon Lake, WA 99148-9795 Ph: (099) 395-5155 | Robert John Peterson, LICSW 40647 Lake Rd, Loon Lake, WA 99148-9795 Ph: (509) 939-5515 |
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