Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GORDON WAYNE PETERSEN, MSW, LICSW
Active Sole ProprietorMR. GORDON WAYNE PETERSEN, MSW, LICSW is a Clinical Social Worker healthcare provider located in BURLINGTON, Vermont. NPI 1487746244 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BURLINGTON, VT
Registration Details
- NPI Number
- 1487746244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2006 (19.831605028941 yrs)
- Last Updated
- Jul 8, 2007
- License
-
089-0000142 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
166 BATTERY STBURLINGTON, VT, 054015283Browse VT providers · Browse ZIP 05401
- Phone
- 8028623373
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BURLINGTON, VT
| Name | Credential | NPI |
|---|---|---|
| NANCY SCHOENFELD | LICSW | 1043210511 |
| MICHAEL BUKANC | LICSW | 1093715526 |
| SARAH L. GERDEMAN | LCSW-R, LICSW | 1023008935 |
| KATHLEEN BROWNE | LICSW | 1033174107 |
| CATHLEEN M KELLEY | LICSW | 1366408098 |
| BETSY A FOWLER | LICSW | 1669438131 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.