JOLYNDA PETERSON
NPI 1629411434
Social Worker - Clinical in Denver, CO

Q: 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.

Q: What is Jolynda 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 Jolynda Peterson was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 10, 2013

2111 CHAMPA ST, DENVER, CO 80205(303) 293-2217 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2021, Dec 15, 2020, May 5, 2020 (3 updates tracked since 2020).

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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 Denver, Colorado, licensed in Colorado (CSW.09927082) and active in the NPI registry since April 2013. She maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1629411434

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJOLYNDA PETERSON

Location Address2111 CHAMPA STDenver, CO 80205-2529

Mailing Address4141 E Dickenson PlDenver, CO 80222-6012

Phone(303) 293-2217

Sole ProprietorNo

Enumeration DateApril 10, 2013

Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ 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

License✔ Licensed in CO · CSW.09927082

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)

2111 CHAMPA ST, Denver, CO 80205

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Secondary Practice Location 1

Location 14141 E Dickenson PlDenver, CO 80222-6012 · Phone (303) 594-6500

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.

MAIA RUSSEK MSW

Social Worker (Clinical)