KEVIN R PETERMAN LCSW
NPI 1366163792
Social Worker - Clinical in Boise, ID

Active since September 05, 2022
578 S GAMAY LN, BOISE, ID 83709(208) 982-7254 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin R Peterman Lcsw NPPES

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

KEVIN R PETERMAN LCSW (NPI 1366163792) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-39511) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1366163792
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN R PETERMANCredential: LCSW
Location Address578 S GAMAY LNBoise, ID 83709-1092
Mailing Address578 S Gamay LnBoise, ID 83709-1092 · (208) 982-7254
Sole ProprietorNo
Enumeration DateSeptember 5, 2022
NPPES CertifiedSeptember 5, 2022
NPI 1366163792 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 ID · LCSW-39511
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.

578 S GAMAY LN, Boise, ID 83709

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 Kevin Peterman's NPI number?

The NPI number for Kevin Peterman is 1366163792. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Kevin Peterman located?

Kevin Peterman practices at 578 S Gamay Ln, Boise, ID 83709. The listed phone number is (208) 982-7254.

What is Kevin Peterman's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Peterman was last updated on September 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.