MR. SHANKAR PETERSON
NPI 1801356852
Social Worker - Clinical in Chicago, IL

Active since March 24, 2019
820 S DAMEN AVE, CHICAGO, IL 60612(708) 674-6638 Get Directions Write a Review

NPPES record last updated: March 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shankar Peterson NPPES

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

MR. SHANKAR PETERSON (NPI 1801356852) is an individual clinical provider in Chicago, Illinois, licensed in Missouri (2018027951) and active in the NPI registry since March 2019. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1801356852
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANKAR PETERSON
Location Address820 S DAMEN AVEChicago, IL 60612-3728
Mailing Address820 S Damen AveChicago, IL 60612-3728 · (708) 674-6638
Sole ProprietorNo
Enumeration DateMarch 24, 2019
NPI 1801356852 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 MO · 2018027951
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.
820 S DAMEN AVE, Chicago, IL 60612

Secondary Practice Location 1

Location 1820 S Damen AveChicago, IL 60612-3728 · Phone (708) 674-6638

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.

Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612

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 Shankar Peterson's NPI number?

The NPI number for Shankar Peterson is 1801356852. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Shankar Peterson located?

Shankar Peterson practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (708) 674-6638.

What is Shankar 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 Shankar Peterson was last updated on March 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.