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

Tamra J Peterson, LMSW, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437785607

Tamra J Peterson, LMSW, CADC is an Addiction (Substance Use Disorder) Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

1246 Yellowstone Ave Bldg F
Pocatello, ID 83201-4374
Phone: (208) 237-9194
Fax: (208) 237-2646
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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 LMSW-39018 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11820 (ID)

Record details

NPI number1437785607
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CADC
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020

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