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Deactivated NPI 1831539063 Deactivated / Inactive NPI Male Practitioner

Joseph Duane Petersen

Social Worker • Corona, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joseph Petersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 02, 2013
NPI Deactivation Date July 10, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Joseph Petersen was a registered Social Worker practicing in Corona, CA. Throughout an active medical career spanning 11 years, Joseph Petersen provided care at the practice location at 2475 EMERSON DR until profile deactivation on 2024-07-10.

Practice Location & Contact Primary Location

Practice Address

2475 Emerson Dr

Corona, CA 928826259

Telephone 5308289528

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Corona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Corona, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 10, 2024

Record deactivated on July 10, 2024

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2013

Registered at 2475 EMERSON DR, CORONA, CA 928826259 (Tel: 5308289528)

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Updated Business Mailing Address July 02, 2013

Registered at 2475 EMERSON DR, CORONA, CA 928826259 (Tel: 5308289528)

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Provider Name / Credentials Updated July 02, 2013

Recorded as JOSEPH PETERSEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Social Worker

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Initial NPI Registration & Enumeration July 02, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831539063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2013
Last Update: July 02, 2013
Deactivation Date: July 10, 2024

Mailing Address

2475 Emerson Dr

Corona, CA 928826259

Phone: 5308289528

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.