CHRISTINA PETERSON MSW, LICSW
NPI 1063731305
Social Worker - Clinical in Medford, MA

Active since May 26, 2010Opted out of Medicare · through Feb 19, 2027
47 WASHINGTON ST, MEDFORD, MA 02155(518) 435-5116(815) 550-2406 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christina Peterson Msw, Licsw NPPES

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

CHRISTINA PETERSON MSW, LICSW (NPI 1063731305) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (117591) and active in the NPI registry since May 2010. She has opted out of Medicare through February 19, 2027.

NPPES Registry Identity

NPI1063731305
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTINA PETERSONCredential: MSW, LICSW
Location Address47 WASHINGTON STMedford, MA 02155-4728
Mailing Address47 Washington StMedford, MA 02155-4728 · (518) 435-5116 · Fax (815) 550-2406
Fax(815) 550-2406
Sole ProprietorYes
Enumeration DateMay 26, 2010
Last NPPES UpdateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
NPI 1063731305 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 MA · 117591
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.
47 WASHINGTON ST, Medford, MA 02155

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Christina Peterson Msw, Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2021 through February 19, 2027.

Opt-Out Effective DateFebruary 19, 2021
Opt-Out In Effect ThroughFebruary 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Social Worker
47 WASHINGTON ST
MEDFORD, MA 02155
Social Worker (Clinical)
47 WASHINGTON ST
MEDFORD, MA 02155
Social Worker (Clinical)
47 WASHINGTON ST
MEDFORD, MA 02155

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 Christina Peterson's NPI number?

The NPI number for Christina Peterson is 1063731305. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Christina Peterson located?

Christina Peterson practices at 47 Washington St, Medford, MA 02155. The listed phone number is (518) 435-5116.

What is Christina Peterson's specialty?

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

Is Christina Peterson enrolled in Medicare?

No. Christina Peterson has opted out of Medicare through February 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Christina Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Christina Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christina Peterson was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.