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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY LORRAINE PETERSEN, CSW PC

Active Organization

MARY LORRAINE PETERSEN, CSW PC is a Clinical Social Worker organization located in CORAM, New York. NPI 1568892214 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CORAM, NY

Registration Details

NPI Number
1568892214
Provider Type
Organization
NPI Issued
Nov 16, 2013 (12.726074964989 yrs)
Last Updated
Dec 6, 2013
License
R023294 (NY)

Practice Information

Address
705 HILLTOP CT
CORAM, NY, 117273640
Browse NY providers · Browse ZIP 11727
Phone
6319889812
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in CORAM, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.