MEDICARE: KATHERINE PETERS 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
1	1041C0700X	Clinical Social Worker	CSW.09931089	CO

General Provider Information

NPI Number	:	1952049017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE PETERS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 966
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80522-0966
Country	:	US
Telephone Number	:	720-900-5898
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W MULBERRY ST STE 107
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2864
Country	:	US
Telephone Number	:	720-900-5898
Fax Number	:	720-528-7870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	09/19/2025

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