NPI 1033173349

Jolene Peterson, MSWLCSWPIP

Practitioner Clinical Social Worker Rapid City, SD

Practice location

Address: 3200 Canyon Lake Dr, Rapid City, SD 57702-8114
Phone: (605) 355-2215
Fax: (605) 355-2504

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1265 (SD)

Other Social Worker providers in South Dakota →

Registry record

NPI: 1033173349
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2006
Record last updated: 11 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.