KIMBERLEY ANN PETERSON MSW, LICSW
NPI 1881832111
Social Worker - Clinical in Fort Campbell, KY

Active since January 23, 2009
650 JOEL DR, FORT CAMPBELL, KY 42223(508) 736-5699 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberley Ann Peterson Msw, Licsw NPPES

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

KIMBERLEY ANN PETERSON MSW, LICSW (NPI 1881832111) is an individual clinical provider in Fort Campbell, Kentucky, licensed in Massachusetts (113741) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1881832111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLEY ANN PETERSONCredential: MSW, LICSW
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (508) 736-5699
Sole ProprietorNo
Enumeration DateJanuary 23, 2009
NPI 1881832111 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 MA · 113741
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.
650 JOEL DR, Fort Campbell, KY 42223

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.

Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223

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 Kimberley Peterson's NPI number?

The NPI number for Kimberley Peterson is 1881832111. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Kimberley Peterson located?

Kimberley Peterson practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (508) 736-5699.

What is Kimberley 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 Kimberley Peterson was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.