ELISHAMA PETERSEN
NPI 1003682287
Social Worker - Clinical in Wynantskill, NY

Active since November 29, 2023
614 COOPER HILL RD, WYNANTSKILL, NY 12198(518) 283-6500 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elishama Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISHAMA PETERSEN (NPI 1003682287) is an individual clinical provider in Wynantskill, New York and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1003682287
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISHAMA PETERSEN
Location Address614 COOPER HILL RDWynantskill, NY 12198-2906
Mailing AddressPo Box 219Wynantskill, NY 12198-0219 · (518) 283-6500
Sole ProprietorNo
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1003682287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
614 COOPER HILL RD, Wynantskill, NY 12198

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Licensed Practical Nurse
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Counselor
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Social Worker (Clinical)
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Student in an Organized Health Care Education/Training Program
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Registered Nurse
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Counselor (Mental Health)
614 COOPER HILL RD
WYNANTSKILL, NY 12198
Social Worker (Clinical)
614 COOPER HILL RD
WYNANTSKILL, NY 12198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elishama Petersen's NPI number?

The NPI number for Elishama Petersen is 1003682287. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Elishama Petersen located?

Elishama Petersen practices at 614 Cooper Hill Rd, Wynantskill, NY 12198. The listed phone number is (518) 283-6500.

What is Elishama Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elishama Petersen was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.