Ms. Mary Joan Peterson, LICSW
Social Worker, Clinical in Wakefield, Massachusetts
1750550356- Practice location
- 24 Bartley St, #4, Wakefield, MA 01880-3138
- Phone
- 617-877-8108
- Fax
- —
- Last updated
- February 16, 2023
Mary Joan Peterson is a Social Worker, Clinical based in Wakefield, MA. Mary Joan Peterson practices in Wakefield, MA and has the professional credentials of LICSW. The NPI Number for Mary Joan Peterson is 1750550356 and holds a License No. 113382 (MA). The current practice location address for Mary Joan Peterson is 24 Bartley St, #4, Wakefield, MA 01880-3138 and can be reached out via phone at 617-877-8108.
Provider Profile Details
- NPI Number
- 1750550356
- Provider Name
- Mary Joan Peterson
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 24 Bartley St, #4, Wakefield, MA 01880-3138
- Phone Number
- 617-877-8108
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 27, 2008
- Last Update Date
- February 16, 2023
- Certification Date
- February 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Bartley St
#4
Wakefield, MA 01880-3138 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-3138
- Phone Number
- 617-877-8108
Provider Business Mailing Address Details
- Address
- 3 Butler Ave Unit 2
Maynard, MA 01754-1403 - City
- Maynard
- State
- MA
- Zip
- 01754-1403
- Phone Number
- 617-877-8108
License Information
- License Number
- 113382
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Wakefield, MA
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Frequently Asked Questions
What is the NPI number of Ms. Mary Joan Peterson, LICSW?
The NPI number of Ms. Mary Joan Peterson, LICSW is 1750550356. It was assigned on February 27, 2008 and is currently active in the NPPES registry.
What is the specialty of Ms. Mary Joan Peterson, LICSW?
Ms. Mary Joan Peterson, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113382.
Where does Ms. Mary Joan Peterson, LICSW practice?
The practice location is 24 Bartley St, #4, Wakefield, MA 01880-3138. The office can be reached at 617-877-8108 (phone).
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 1750550356 directly on the NPPES registry website.