Faye Peterson-Pottinger, LCSW
Social Worker, Clinical in South Bend, IN. Individual provider (NPI-1).
NPI number1013965581
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1013965581
- Entity type
- Individual (NPI-1)
- Name
- Faye Peterson-Pottinger
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34003518 | IN | Yes |
Practice location
403 E Madison StSouth Bend, IN 46617-2322
Phone 574-283-1107 · Fax 574-283-1131
Mailing address
107 Gra Roy DrGoshen, IN 46526-4706
Phone 574-533-3618
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