MARY PETERSEN MSW, ACSW
NPI 1003986068
Social Worker - Clinical in New Haven, MI

Active since November 08, 2006
58144 GRATIOT AVE, NEW HAVEN, MI 48048(810) 794-4982(810) 794-4407 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Petersen Msw, Acsw NPPES

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

MARY PETERSEN MSW, ACSW (NPI 1003986068) is an individual clinical provider in New Haven, Michigan, licensed in Michigan (6801080062) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003986068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY PETERSENCredential: MSW, ACSW
Location Address58144 GRATIOT AVENew Haven, MI 48048
Mailing Address555 Saint Clair River DrAlgonac, MI 48001-1802 · (810) 794-4982 · Fax (810) 794-4407
Fax(810) 794-4407
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003986068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801080062
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.
58144 GRATIOT AVE, New Haven, MI 48048

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Family Medicine
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Registered Nurse
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Dentist (General Practice)
58144 GRATIOT AVE, SUITE 316
NEW HAVEN, MI 48048
Dentist
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Pharmacy (Community/Retail Pharmacy)
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Dentist
58144 GRATIOT AVE
NEW HAVEN, MI 48048
Dental Hygienist
58144 GRATIOT AVE
NEW HAVEN, MI 48048

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 Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1003986068. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mary Petersen located?

Mary Petersen practices at 58144 Gratiot Ave, New Haven, MI 48048. The listed phone number is (810) 794-4982.

What is Mary 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 Mary Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.