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Individual
MS. SHATAWNEE PETERSON
Active
Individual
MS. SHATAWNEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LMHP, LIMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14171
NE
101YM0800X
Mental Health Counselor
Primary
4673
NE
101YM0800X
Mental Health Counselor
6518
NE
101YM0800X
Mental Health Counselor
8119
NE
104100000X
Social Worker
14171
NE
104100000X
Social Worker
2722
NE
1041C0700X
Clinical Social Worker
Primary
14171
NE
1041C0700X
Clinical Social Worker
8119
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028192902
—
NE
05
—
10029553600
—
NE
05
—
10281929001
—
NE
Enumeration date
11/22/2021
Last updated
08/26/2026
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