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MAXIMILIAN GRAHAM PETERSON
NPI 1629946926
Social Worker in Boise, ID

Active since October 28, 2025
10096 W FAIRVIEW AVE, BOISE, ID 83704(208) 908-7882 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maximilian Graham Peterson NPPES

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

MAXIMILIAN GRAHAM PETERSON (NPI 1629946926) is an individual social worker in Boise, Idaho and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1629946926
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMAXIMILIAN GRAHAM PETERSON
Location Address10096 W FAIRVIEW AVEBoise, ID 83704-5099
Mailing Address10096 W Fairview AveBoise, ID 83704-5099 · (208) 908-7882
Phone(208) 908-7882
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1629946926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10096 W FAIRVIEW AVE, Boise, ID 83704
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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.

SAMANTHA EMILY MCCONAUGHY
Social Worker
10096 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 908-7882
SUZANNE KNORR
Behavior Technician
10096 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 703-2453
ZIQING ZHAO BA
Social Worker
10096 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 908-7882
KYLE HINKLE
Social Worker
10096 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 908-7882
JAGUAR APOLO GYURCSIK
Social Worker
10096 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 908-7882

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 Maximilian Peterson's NPI number?

The NPI number for Maximilian Peterson is 1629946926. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Maximilian Peterson located?

Maximilian Peterson practices at 10096 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 908-7882.

What is Maximilian Peterson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Maximilian Peterson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.