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TAMRA J PETERSON LMSW, CADC
NPI 1437785607
Social Worker - Clinical in Pocatello, ID

Active since March 19, 2020
1246 YELLOWSTONE AVE BLDG F, POCATELLO, ID 83201(208) 237-9194(208) 237-2646 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2020, Mar 19, 2020 (2 updates tracked since 2020).

About Tamra J Peterson Lmsw, Cadc NPPES

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

TAMRA J PETERSON LMSW, CADC (NPI 1437785607) is an individual clinical provider in Pocatello, Idaho, licensed in Idaho (LMSW-39018) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1437785607
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMRA J PETERSONCredential: LMSW, CADC
Location Address1246 YELLOWSTONE AVE BLDG FPocatello, ID 83201-4374
Mailing Address1246 Yellowstone Ave Bldg FPocatello, ID 83201-4374 · (208) 237-9194 · Fax (208) 237-2646
Phone(208) 237-9194
Fax(208) 237-2646
Sole ProprietorNo
Enumeration DateMarch 19, 2020
Last NPPES UpdateMarch 27, 20202 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1437785607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LMSW-39018
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11820 (ID)
1246 YELLOWSTONE AVE BLDG F, Pocatello, ID 83201
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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 Tamra Peterson's NPI number?

The NPI number for Tamra Peterson is 1437785607. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Tamra Peterson located?

Tamra Peterson practices at 1246 Yellowstone Ave Bldg F, Pocatello, ID 83201. The listed phone number is (208) 237-9194.

What is Tamra Peterson'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 Tamra Peterson was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.