PETER KINGSLEY LCSW
NPI 1679069843
Social Worker - Clinical in Minot Afb, ND

Active since July 10, 2018
10 MISSILE AVE, MINOT AFB, ND 58705(701) 723-5633 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Feb 19, 2020, Jul 10, 2018 (3 updates tracked since 2018).

About Peter Kingsley Lcsw NPPES

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

PETER KINGSLEY LCSW (NPI 1679069843) is an individual clinical provider in Minot Afb, North Dakota, licensed in Washington (LW61205441) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1679069843
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePETER KINGSLEYCredential: LCSW
Location Address10 MISSILE AVEMinot Afb, ND 58705-5003
Mailing Address10 Missile AveMinot Afb, ND 58705-5003 · (701) 723-5633
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
NPI 1679069843 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 WA · LW61205441
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.

10 MISSILE AVE, Minot Afb, ND 58705

Other Identifiers 1

Other14615066Caqh

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.

Nurse Practitioner (Women's Health)
10 MISSILE AVE
MINOT AFB, ND 58705
Physician Assistant
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker
10 MISSILE AVE
MINOT AFB, ND 58705
Psychologist (Counseling)
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705
Physical Therapist
10 MISSILE AVE
MINOT AFB, ND 58705
General Practice
10 MISSILE AVE
MINOT AFB, ND 58705
Social Worker (Clinical)
10 MISSILE AVE
MINOT AFB, ND 58705

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 Peter Kingsley's NPI number?

The NPI number for Peter Kingsley is 1679069843. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Peter Kingsley located?

Peter Kingsley practices at 10 Missile Ave, Minot Afb, ND 58705. The listed phone number is (701) 723-5633.

What is Peter Kingsley'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 Peter Kingsley was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.