National Provider Identifier
Kimberly Rose Peterson, LMSW
Kimberly Rose Peterson, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 615-0183.
Profile Overview
- NPI
- 1467955724
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 13, 2018
- Last Updated
- July 14, 2023
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 615-0183
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1467955724
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Kimberly
- Middle Name
- Rose
- Credential
- LMSW
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 615-0183
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 615-0183
- Enumeration Date
- March 13, 2018
- Last Updated
- July 14, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 14, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)