ROBERT JOHN PETERSON LICSW
NPI 1922336684
Social Worker - Clinical in Loon Lake, WA

Active since November 18, 2009
40647 LAKE RD, LOON LAKE, WA 99148(509) 939-5515 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert John Peterson Licsw NPPES

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

ROBERT JOHN PETERSON LICSW (NPI 1922336684) is an individual clinical provider in Loon Lake, Washington, licensed in Washington (60174553) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1922336684
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT JOHN PETERSONCredential: LICSW
Location Address40647 LAKE RDLoon Lake, WA 99148-9795
Mailing Address40647 Lake RdLoon Lake, WA 99148-9795 · (099) 395-5155
Sole ProprietorYes
Enumeration DateNovember 18, 2009
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
NPI 1922336684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · 60174553
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.
Also ListedSocial WorkerTaxonomy 104100000X · License X-06759 (NM)
40647 LAKE RD, Loon Lake, WA 99148

Other Identifiers 2

Other336712NM · Ped License
OtherX-06759NM · State License

Accepted Insurance

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 Robert Peterson's NPI number?

The NPI number for Robert Peterson is 1922336684. It was assigned to this individual provider in the NPPES registry on November 18, 2009.

Where is Robert Peterson located?

Robert Peterson practices at 40647 Lake Rd, Loon Lake, WA 99148. The listed phone number is (509) 939-5515.

What is Robert Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Robert Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Robert Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Peterson was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.