KRISTINA PETERSEN
NPI 1104229806
Social Worker - Clinical in Bullhead City, AZ

Active since October 08, 2014
2580 HWAY 95 # 1250, BULLHEAD CITY, AZ 86442(928) 763-7776(928) 763-7786 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristina Petersen NPPES

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

KRISTINA PETERSEN (NPI 1104229806) is an individual clinical provider in Bullhead City, Arizona, licensed in Arizona (13439) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1104229806
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA PETERSEN
Location Address2580 HWAY 95 # 1250Bullhead City, AZ 86442-7491
Mailing Address3450 N 3rd StPhoenix, AZ 85012-2331 · (602) 257-9339 · Fax (602) 265-8533
Fax(928) 763-7786
Sole ProprietorNo
Enumeration DateOctober 8, 2014
NPI 1104229806 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 AZ · 13439
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.
2580 HWAY 95 # 1250, Bullhead City, AZ 86442

Other Identifiers 1

MedicaidPENDINGAZ

Accepted Insurance

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 Kristina Petersen's NPI number?

The NPI number for Kristina Petersen is 1104229806. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Kristina Petersen located?

Kristina Petersen practices at 2580 Hway 95 # 1250, Bullhead City, AZ 86442. The listed phone number is (928) 763-7776.

What is Kristina Petersen's specialty?

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

What insurance does Kristina Petersen accept?

Health plans from Imperial Insurance Companies, Inc. list Kristina Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Petersen was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.