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

Kishmar Petersen

Individual provider Social Worker · NPI 1710330865

Kishmar Petersen is a Social Worker in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

589 S Ct
Daytona Beach, FL 32114-6009
Phone: (386) 868-1992
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (FL)

Record details

NPI number1710330865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 13, 2016
Last updated in NPPESJuly 13, 2016
Mailing address589 South Ct, Daytona Beach, FL 32114-6009

Other providers in Daytona Beach