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

Teaundra Peterson

Individual provider Clinical Social Worker · NPI 1164277984

Teaundra Peterson is a Clinical Social Worker in Tallahassee, Florida. Qualified in 2022, 4 years ago. Practices with A Time to Change Counseling Center, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1772 Riverbirch Holw
Tallahassee, FL 32308-5549
Phone: (850) 727-2365
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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 ISW18353 (FL)

Record details

NPI number1164277984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice A Time To Change Counseling Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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