Laura Petersen, M.S.W., L.C.S.W., L.L.C.

LBN: Laura Petersen, M.S.W., L.C.S.W., L.L.C.
Laura Petersen, M.S.W., L.C.S.W., L.L.C. is an health care organization with primary practice located at 901 S Rogers St Suite 202, Bloomington IN 47403-4756. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Laura Petersen, M.S.W., L.C.S.W., L.L.C. can be contacted via phone (812) 369-7683, or through Petersen, Laura Christine via phone (812) 369-7683.

Contact Information

Primary practice address
901 S Rogers St Suite 202 Bloomington IN 47403-4756
Phone: (812) 369-7683
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Laura Christine M.S.W., L.C.S.W.
Phone: (812) 369-7683

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004770A Indiana

Profile Details

NPI number 1063652238
LBN Legal business name Laura Petersen, M.S.W., L.C.S.W., L.L.C.
DBA Doing business as
Authorized official Petersen, Laura Christine M.S.W., L.C.S.W.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2009
Last updated Jun 8th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063652238 NPPES
Indiana MEDICAID 200887530A

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