What is Kevin Peterman's NPI number?

Kevin Peterman's National Provider Identifier (NPI) is 1366163792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Peterman's specialty?

Kevin Peterman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Kevin Peterman located?

Kevin Peterman's practice location on file with NPPES is 578 S Gamay Ln, Boise, ID 83709-1092.

What is Kevin Peterman's phone number?

The practice phone number listed in the NPPES registry for Kevin Peterman is (208) 982-7254.

Is Kevin Peterman's NPI active?

Yes — Kevin Peterman's NPI (1366163792) is active in the NPPES registry as of the last update on 2022-09-05.

IndividualActive

Kevin Peterman, LCSW

NPI 1366163792 · Clinical Social Worker · Boise, ID

Kevin Peterman, LCSW is a Clinical Social Worker provider in Boise, ID (NPI 1366163792).

Provider details

NPI number: 1366163792
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: No
License: LCSW-39511 (ID)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LCSW-39511 (ID)
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

578 S Gamay Ln

Boise, ID 83709-1092

Phone: (208) 982-7254

Street-level locationGet directions

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Mailing address