RONALD PETERSON – Clinical Social Worker, NPI 1891875316

RONALD PETERSON is a healthcare provider. based in Kalamazoo, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801080036 (MI). The NPI Number for RONALD PETERSON is 1891875316

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
RONALD PETERSON
NPI
1891875316
Phone
Not provided
Address
5943 STADIUM DR
Enumeration Date
17 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693831440
Graduation Year
2000 (26 years ago)
PAC ID
8325009335
Group Practice PAC ID
2466531082
Professional Enrollment ID
I20041022000831
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RONALD PETERSON

  • 5943, Stadium Drive, Oshtemo, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States

    SUITE 3

    KALAMAZOO, MI 490093016

    Phone:

    Type: Mailing

  • Borgess Medical Center, 1521, Gull Road, Kalamazoo, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490481640

    Phone: (269) 226-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466531082View full group profile
NameSpecialtyState
MS. CARRIE L MOORE (MA, LMSW, CAAC)
-MI

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Frequently asked questions

How do I look up RONALD PETERSON by NPI?
Use NPI 1891875316 when you need to reference RONALD PETERSON in forms, claims, or directories.
Does this profile mean RONALD PETERSON is currently active?
Yes — RONALD PETERSON appears active in the national provider directory.
Can you summarize RONALD PETERSON's specialty in plain language?
Clinically, the directory lists RONALD PETERSON with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does RONALD PETERSON practice in Michigan?
You will see Kalamazoo, Michigan on file for RONALD PETERSON alongside any extra practice locations.
How can I contact RONALD PETERSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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