Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James Martin Petersen, BASW, CCM, CBIST

Individual provider Social Worker · NPI 1467087494

James Martin Petersen, BASW, CCM, CBIST is a Social Worker in Whitehall, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

137 Holton Whitehall Rd
Whitehall, MI 49461-9543
Phone: (231) 893-1462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802010722 (MI)

Record details

NPI number1467087494
Entity typeIndividual (Type 1)
GenderMale
Credentials BASW , CCM , CBIST
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

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