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

Individual provider Clinical Social Worker · NPI 1881832111

Kimberley Ann Peterson, MSW, LICSW is a Clinical Social Worker in Fort Campbell, Kentucky. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (508) 736-5699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 113741 (MA)

Record details

NPI number1881832111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2009
Last updated in NPPESJanuary 23, 2009

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