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SCOTT JEFFREY PETERSON
NPI 1457917627
Social Worker - Clinical in Grand Rapids, MI

Active since May 14, 2019
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, May 14, 2019 (2 updates tracked since 2019).

About Scott Jeffrey Peterson NPPES

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

SCOTT JEFFREY PETERSON (NPI 1457917627) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801118131) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1457917627
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSCOTT JEFFREY PETERSON
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address1638 Rose Pkwy SeGrand Rapids, MI 49506-5247 · (616) 581-9907
Phone(616) 942-2110
Sole ProprietorNo
Enumeration DateMay 14, 2019
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1457917627 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 MI · 6801118131
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.
3300 36TH ST SE, Grand Rapids, MI 49512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

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.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

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 Scott Peterson's NPI number?

The NPI number for Scott Peterson is 1457917627. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Scott Peterson located?

Scott Peterson practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Scott Peterson's specialty?

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

What insurance does Scott Peterson accept?

Health plans from McLaren Health Plan Community and Priority Health list Scott Peterson 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 Scott Peterson was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.