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TAMATHA SHON PETERSON
NPI 1033241898
Social Worker - Clinical in Auburn, CA

Active since March 09, 2007PECOS Enrolled
11716 ENTERPRISE DR, AUBURN, CA 95603(530) 889-6700 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tamatha Shon Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMATHA SHON PETERSON (NPI 1033241898) is an individual clinical provider in Auburn, California, licensed in California (LCS24142) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033241898
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMATHA SHON PETERSON
Location Address11716 ENTERPRISE DRAuburn, CA 95603-3732
Mailing Address11716 Enterprise DrAuburn, CA 95603-3732 · (530) 889-6743
Phone(530) 889-6700
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1033241898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS24142
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11716 ENTERPRISE DR, Auburn, CA 95603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamatha Shon Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN D KOROSEC
Counselor (Mental Health)
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-7674
MRS. SHARON RACHEL MALLORY
Counselor (Mental Health)
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-6700
MISS KIMBERLY MICHELLE SMITH
Community Health Worker
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-6722
MS. NAOMA HARDY PHN
Registered Nurse (Community Health)
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-6715
ROBYN GONZALES
Case Manager/Care Coordinator
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-6797
ERIC L BRANSON ACSW
Social Worker
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 889-6702
CHRISTINE CASTRO
Counselor (Mental Health)
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 886-5402
MR. DEREK DAVID HOLLEY
Counselor (Mental Health)
11716 ENTERPRISE DR
AUBURN, CA 95603
Placer County (530) 886-5407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamatha Peterson's NPI number?

The NPI number for Tamatha Peterson is 1033241898. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Tamatha Peterson located?

Tamatha Peterson practices at 11716 Enterprise Dr, Auburn, CA 95603. The listed phone number is (530) 889-6700.

What is Tamatha Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tamatha Peterson enrolled in Medicare?

Yes. Tamatha Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamatha Peterson was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.