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

Individual provider Mental Health Counselor · NPI 1467955724

Kimberly Rose Peterson, LMSW is a Mental Health Counselor in Canandaigua, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

400 Fort Hill Ave
Canandaigua, NY 14424-1159
Phone: (585) 615-0183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Spencer Ln, Stony Brook, NY 11790-3122 — (631) 332-9286

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 100075 (NY)

Record details

NPI number1467955724
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedMarch 13, 2018
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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