CHANDRA NICOLE PETERSON LCSW - NPI 1508489410 - Social Worker in San Antonio, TX

Q: What is Chandra Peterson's NPI number?

The NPI number for Chandra Peterson is 1508489410. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Chandra Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chandra Peterson was last updated on May 26, 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.

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About Chandra Nicole Peterson Lcsw NPPES

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

CHANDRA NICOLE PETERSON LCSW (NPI 1508489410) is an individual clinical provider in San Antonio, Texas, licensed in Texas (55071) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1508489410

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHANDRA NICOLE PETERSONCredential: LCSW

Location Address6363 DE ZAVALA RDSan Antonio, TX 78249-2103

Mailing Address6363 De Zavala Rd Ste 300San Antonio, TX 78249-2104 · (210) 399-4838

Phone(210) 399-4838

Sole ProprietorYes

Enumeration DateMay 26, 2020

NPPES CertifiedMay 26, 2020

✔ NPI 1508489410 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 TX · 55071

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.

6363 DE ZAVALA RD, San Antonio, TX 78249

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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.

LAILLAH GUICE LPC

Counselor (Professional)