DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. MICHAEL WAYNE PETERSEN LCSW

MEDICARE: MR. MICHAEL WAYNE PETERSEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker20221CA

General Provider Information

NPI Number : 1346254935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL WAYNE PETERSEN LCSW
Provider Business Mailing Address
First Line : 1249 FARRAGUT CIR
Second Line :
City : DAVIS
State : CA
Zip : 95616-6364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-290-8155
Fax Number : 916-456-4636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1457071391 — CHUN MING YAN LPCC22202
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-452-3981
Practice Fax:
1104848621 — MR. CHRISTOPHER GREGG MCCARTY MFT
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-452-3981
Practice Fax: 916-457-3128
1710993175 — MS. CYNTHIA ANNE HALE M.S., M.F.T.I.
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-452-3981
Practice Fax: 916-454-5031
1487664868 — MS. KRISTEN MARIE LOVE LCSW
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-492-7240
Practice Fax: 916-736-1072
1518978261 — MS. JOANNA RACHEL LITTELL M.A.
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-452-3981
Practice Fax:
1407961683 — ROY LEN ALEXANDER LCSW
Practice Location Address:
2750 SUTTERVILLE RD
SACRAMENTO, CA
95820-1024
Practice Phone: 916-290-8100
Practice Fax:

Directions to “ MR. MICHAEL WAYNE PETERSEN LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.