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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOLYNDA PETERSON
NPI 1629411434
Social Worker - Clinical in Fond Du Lac, WI

Active since April 10, 2013
295 SHEBOYGAN ST, FOND DU LAC, WI 54935(815) 347-8587 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2026, Feb 11, 2021, Dec 15, 2020 and 1 more (4 updates tracked since 2020).

About Jolynda Peterson NPPES

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

JOLYNDA PETERSON (NPI 1629411434) is an individual clinical provider in Fond Du Lac, Wisconsin, licensed in Colorado (CSW.09927082) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1629411434
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOLYNDA PETERSON
Location Address295 SHEBOYGAN STFond Du Lac, WI 54935-4364
Mailing Address295 Sheboygan StFond Du Lac, WI 54935-4364
Phone(815) 347-8587
Sole ProprietorNo
Enumeration DateApril 10, 2013
Last NPPES UpdateOctober 18, 20264 updates tracked since enumeration
NPPES CertifiedOctober 18, 2026
✔ NPI 1629411434 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
Licenses✔ Licensed in CO · CSW.09927082✔ Licensed in WI · 9991-123
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 ACD.0000799 (CO)
295 SHEBOYGAN ST, Fond Du Lac, WI 54935
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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 Jolynda Peterson's NPI number?

The NPI number for Jolynda Peterson is 1629411434. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Jolynda Peterson located?

Jolynda Peterson practices at 295 Sheboygan St, Fond Du Lac, WI 54935. The listed phone number is (815) 347-8587.

What is Jolynda 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 Jolynda Peterson was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.