Individual
MRS. JENNIFER MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
664 AARON CT, KINGSTON, NY 12401-2968
(845) 705-7193
Mailing address
1761 STATE ROUTE 213, ULSTER PARK, NY 12487-5331
(845) 705-7193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116019
NY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
02/12/2026
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