Shanice Nicole Peterson, LCSW - Counselor in San Diego, CA

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Shanice Nicole Peterson, LCSW is a Social Worker - Clinical based in San Diego, California. Shanice Nicole Peterson is licensed to practice in California (license number 134858) and her current practice location is 1620 5th Ave Ste 800, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (619) 391-9665.

NPI number for Shanice Nicole Peterson is 1861037145 and her current mailing address is 13087 Olympus Cir Unit 1, Poway, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861037145.

Contact Information

Shanice Nicole Peterson, LCSW
1620 5th Ave Ste 800,
San Diego, CA 92101-2792
(619) 391-9665
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShanice Nicole Peterson
GenderFemale
SpecialitySocial Worker - Clinical
Location1620 5th Ave Ste 800, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861037145
  • Provider Enumeration Date: 11/11/2019
  • Last Update Date: 02/22/2026

Medical Identifiers

Medical identifiers for Shanice Nicole Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861037145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LG50082715 (District Of Columbia)Secondary
1041C0700XSocial Worker - Clinical 134858 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanice Nicole Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shanice Nicole Peterson, LCSW
13087 Olympus Cir Unit 1,
Poway, CA 92064-4677

Ph: (940) 642-4712		Shanice Nicole Peterson, LCSW
1620 5th Ave Ste 800,
San Diego, CA 92101-2792

Ph: (619) 391-9665

Reviews and Comments


Social Worker in San Diego, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.