Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Nicole Peterson, LMSW-41574

Individual provider Clinical Social Worker · NPI 1265185615

Danielle Nicole Peterson, LMSW-41574 is a Clinical Social Worker in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022

Practice location Address checks out

101 E Main St Ste 210
Rexburg, ID 83440-2017
Phone: (208) 357-3104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 41754 (ID)

Record details

NPI number1265185615
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW-41574
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

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