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MARY PETERSON ASW
NPI 1053926766
Counselor - Mental Health in Sebastopol, CA

Active since September 10, 2020
1800 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472(707) 634-9050(707) 823-3410 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Peterson Asw NPPES

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

MARY PETERSON ASW (NPI 1053926766) is an individual mental health provider in Sebastopol, California, licensed in California (ASW94291) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1053926766
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY PETERSONCredential: ASW
Location Address1800 GRAVENSTEIN HWY NSebastopol, CA 95472-2607
Mailing Address1800 Gravenstein Hwy NSebastopol, CA 95472-2607 · (707) 634-9050 · Fax (707) 823-3410
Phone(707) 634-9050
Fax(707) 823-3410
Sole ProprietorNo
Enumeration DateSeptember 10, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedSeptember 9, 2020
✔ NPI 1053926766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW94291
1800 GRAVENSTEIN HWY N, Sebastopol, CA 95472
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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.

LIA GOLDEN-BYRD
Social Worker (Clinical)
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 823-7300
HEATHER TIDRICK ASW
Counselor
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 823-7300
MS. EILEEN PATRICIA LEVECKIS AMFT, APCC
Counselor (Mental Health)
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 634-9077
DANIELLE GHILOTTI
Counselor (Mental Health)
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 634-9072
BASIM ABRAHAM FARAH MA CLINICAL PSY
Rehabilitation Counselor
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 634-9055
MARY ALTENAU
Counselor (Mental Health)
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 823-7300
AUBRIANNA RAE TAIT
Marriage & Family Therapist
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 837-6085
JAMI LEA VESS
Day Training/Habilitation Specialist
1800 GRAVENSTEIN HWY N
SEBASTOPOL, CA 95472
Sonoma County (707) 634-9068

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 Peterson's NPI number?

The NPI number for Mary Peterson is 1053926766. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Mary Peterson located?

Mary Peterson practices at 1800 Gravenstein Hwy N, Sebastopol, CA 95472. The listed phone number is (707) 634-9050.

What is Mary Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Peterson was last updated on November 27, 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.