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Active NPI 1467087494 Individual Practitioner Male Practitioner

James Martin Petersen , BASW, CCM, CBIST

Social Worker • Whitehall, MI

Professional Overview & Biography Verified Profile Summary

James Petersen, BASW, CCM, CBIST is a registered healthcare professional specializing in Social Worker in Whitehall, MI. Practice services are available at 137 HOLTON WHITEHALL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

137 Holton Whitehall Rd

Whitehall, MI 494619543

Telephone 2318931462
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Whitehall, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Whitehall, MI (9360 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

CMS Verified: 2020-03-10
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6802010722

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Mark Parrish , BS, CCM, CBIS

Case Manager/Care Coordinator

NPI 1205492626

Bachelor of Science, CCM, CBIS

Michael Debruine , CTRS

Recreation Therapist

NPI 1457061228

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2020

Registered at 137 HOLTON WHITEHALL RD, WHITEHALL, MI 494619543 (Tel: 2318931462)

📍
Updated Business Mailing Address March 10, 2020

Registered at PO BOX 281, WHITEHALL, MI 494610281 (Tel: 2318931462)

👤
Provider Name / Credentials Updated March 10, 2020

Recorded as JAMES PETERSEN, BASW, CCM, CBIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2020

Social Worker (License #6802010722 in MI)

🟢
Initial NPI Registration & Enumeration March 10, 2020

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: 1467087494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2020
Last Update: March 10, 2020
Sole Proprietor: No

Mailing Address

Po Box 281

Whitehall, MI 494610281

Phone: 2318931462

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.