IndividualActive
Kishmar Petersen
NPI 1710330865 · Social Worker · Daytona Beach, FL
Kishmar Petersen is a Social Worker provider in Daytona Beach, FL (NPI 1710330865).
Provider details
- NPI number
- 1710330865
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% 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
589 South Ct
Daytona Beach, FL 32114-6009
Phone: (386) 868-1992
Street-level locationGet directions
Mailing address
589 South Ct
Daytona Beach, FL 32114-6009
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Frequently asked questions
- What is Kishmar Petersen's NPI number?
- Kishmar Petersen's National Provider Identifier (NPI) is 1710330865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kishmar Petersen's specialty?
- Kishmar Petersen is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Kishmar Petersen located?
- Kishmar Petersen's practice location on file with NPPES is 589 South Ct, Daytona Beach, FL 32114-6009.
- What is Kishmar Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kishmar Petersen is (386) 868-1992.
- Is Kishmar Petersen's NPI active?
- Yes — Kishmar Petersen's NPI (1710330865) is active in the NPPES registry as of the last update on 2016-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.