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

Kevin R Peterman, LCSW

Individual provider Clinical Social Worker · NPI 1366163792

Kevin R Peterman, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

578 S Gamay Ln
Boise, ID 83709-1092
Phone: (208) 982-7254
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 LCSW-39511 (ID)

Record details

NPI number1366163792
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 5, 2022
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022

Other providers in Boise