Active NPIIndividual provider

Vivian Peterson, LICSW

Social Worker, Clinical in Lynn, Massachusetts

NPI Number1154435626
Practice location
269 Union St, Lynn, MA 01901
Fax
781-595-7990
Last updated
July 8, 2007

Vivian Peterson is a Social Worker, Clinical based in Lynn, MA. Vivian Peterson practices in Lynn, MA and has the professional credentials of LICSW. The NPI Number for Vivian Peterson is 1154435626 and holds a License No. 1017472 (MA). The current practice location address for Vivian Peterson is 269 Union St, Lynn, MA 01901 and can be reached out via phone at 781-595-7747 and via fax at 781-595-7990.

Provider Profile Details

NPI Number
1154435626
Provider Name
Vivian Peterson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
269 Union St, Lynn, MA 01901
Phone Number
781-595-7747
Fax Number
781-595-7990
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Union St
Lynn, MA 01901
City
Lynn
Zip
01901
Phone Number
781-595-7747
Fax Number
781-595-7990
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
Po Box 526
Lynn, MA 01903
City
Lynn
State
MA
Zip
01903
Phone Number
781-596-2502
Fax Number
781-596-3966

License Information

License Number
1017472
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Lynn, MA

View all Social Worker, Clinical providers in Lynn →

Frequently Asked Questions

What is the NPI number of Vivian Peterson, LICSW?

The NPI number of Vivian Peterson, LICSW is 1154435626. It was assigned on August 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Vivian Peterson, LICSW?

Vivian Peterson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1017472.

Where does Vivian Peterson, LICSW practice?

The practice location is 269 Union St, Lynn, MA 01901. The office can be reached at 781-595-7747 (phone) or 781-595-7990 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154435626 directly on the NPPES registry website.

Browse related providers