KISHMAR PETERSEN
NPI 1710330865
Social Worker in Daytona Beach, FL

Q: What is Kishmar Petersen's NPI number?

The NPI number for Kishmar Petersen is 1710330865. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Q: What is Kishmar Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kishmar Petersen was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 13, 2016

589 SOUTH CT, DAYTONA BEACH, FL 32114(386) 868-1992 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kishmar Petersen NPPES

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

KISHMAR PETERSEN (NPI 1710330865) is an individual social worker in Daytona Beach, Florida and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1710330865

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKISHMAR PETERSEN

Location Address589 SOUTH CTDaytona Beach, FL 32114-6009

Mailing Address589 South CtDaytona Beach, FL 32114-6009 · (386) 868-1992

Phone(386) 868-1992

Sole ProprietorYes

Enumeration DateJuly 13, 2016

✔ NPI 1710330865 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.

589 SOUTH CT, Daytona Beach, FL 32114

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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 Kishmar Petersen's NPI number?

The NPI number for Kishmar Petersen is 1710330865. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Kishmar Petersen located?

Kishmar Petersen practices at 589 South Ct, Daytona Beach, FL 32114. The listed phone number is (386) 868-1992.

What is Kishmar Petersen'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 Kishmar Petersen was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.