Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
ROBERT JOHN PETERSON
Active
Individual
ROBERT JOHN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-06759
NM
1041C0700X
Clinical Social Worker
Primary
60174553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336712
PED LICENSE
NM
01
—
X-06759
STATE LICENSE
NM
Enumeration date
11/18/2009
Last updated
11/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up