Active NPIIndividual providerSole proprietor

Bethany Peterson, LCSW

Social Worker, Clinical in York, Maine

NPI Number1861875734
Practice location
647 US Route 1 Ste 302, York, ME 03909-1689
Fax
—
Last updated
December 4, 2023

Bethany Peterson is a Social Worker, Clinical based in York, ME. Bethany Peterson practices in York, ME and has the professional credentials of LCSW. The NPI Number for Bethany Peterson is 1861875734 and holds a License No. LC17411 (ME). The current practice location address for Bethany Peterson is 647 US Route 1 Ste 302, York, ME 03909-1689 and can be reached out via phone at 207-651-5880.

Provider Profile Details

NPI Number
1861875734
Provider Name
Bethany Peterson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
647 US Route 1 Ste 302, York, ME 03909-1689
Phone Number
207-651-5880
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2015
Last Update Date
December 4, 2023
Certification Date
March 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
647 US Route 1 Ste 302
York, ME 03909-1689
City
York
State
Maine
Zip
03909-1689
Phone Number
207-651-5880
York, ME 03909Get directions →

Provider Business Mailing Address Details

Address
59 Oak Ln
Wells, ME 04090-7023
City
Wells
State
ME
Zip
04090-7023
Phone Number
207-651-5880

License Information

License Number
LC17411
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Bethany Peterson, LCSW?

The NPI number of Bethany Peterson, LCSW is 1861875734. It was assigned on July 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Bethany Peterson, LCSW?

Bethany Peterson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC17411.

Where does Bethany Peterson, LCSW practice?

The practice location is 647 US Route 1 Ste 302, York, ME 03909-1689. The office can be reached at 207-651-5880 (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 1861875734 directly on the NPPES registry website.

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