Provider Demographics
NPI:1952049017
Name:PETERS, KATHERINE (SWC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PETERS
Suffix:
Gender:F
Credentials:SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-0966
Mailing Address - Country:US
Mailing Address - Phone:720-900-5898
Mailing Address - Fax:
Practice Address - Street 1:2850 MCCLELLAND DR STE 3600
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2587
Practice Address - Country:US
Practice Address - Phone:970-900-6179
Practice Address - Fax:970-797-1119
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099310891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical