MARIANNA PETERSON MSW
NPI 1164827366
Counselor - Mental Health in East Saint Louis, IL

Active since October 30, 2014
5601 STATE ST, EAST SAINT LOUIS, IL 62203(618) 213-3170(618) 493-6390 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marianna Peterson Msw NPPES

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

MARIANNA PETERSON MSW (NPI 1164827366) is an individual mental health provider in East Saint Louis, Illinois and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1164827366
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIANNA PETERSONCredential: MSW
Location Address5601 STATE STEast Saint Louis, IL 62203-1346
Mailing Address111 Herman StHighland, IL 62249-3209 · (618) 213-3170 · Fax (618) 493-6390
Fax(618) 493-6390
Sole ProprietorYes
Enumeration DateOctober 30, 2014
NPI 1164827366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5601 STATE ST, East Saint Louis, IL 62203

Other Providers at the Same Location NPPES 5

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

Behavior Analyst
5601 STATE ST
EAST SAINT LOUIS, IL 62203
Social Worker
5601 STATE ST
EAST SAINT LOUIS, IL 62203
Counselor
5601 STATE ST
EAST SAINT LOUIS, IL 62203
Foster Care Agency
5601 STATE ST
EAST SAINT LOUIS, IL 62203
Community/Behavioral Health
5601 STATE ST
EAST SAINT LOUIS, IL 62203

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 Marianna Peterson's NPI number?

The NPI number for Marianna Peterson is 1164827366. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Marianna Peterson located?

Marianna Peterson practices at 5601 State St, East Saint Louis, IL 62203. The listed phone number is (618) 213-3170.

What is Marianna Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marianna Peterson was last updated on October 30, 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.