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MEDORIE PETERSEN-WOODBURN LMSW
NPI 1255034427
Counselor - Mental Health in Bronx, NY

Active since March 24, 2023
4234 GUNTHER AVE, BRONX, NY 10466(917) 201-1031 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medorie Petersen-woodburn Lmsw NPPES

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

MEDORIE PETERSEN-WOODBURN LMSW (NPI 1255034427) is an individual mental health provider in Bronx, New York, licensed in New York (117881-01) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1255034427
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMEDORIE PETERSEN-WOODBURNCredential: LMSW
Location Address4234 GUNTHER AVEBronx, NY 10466-2008
Mailing Address4234 Gunther AveBronx, NY 10466-2008 · (917) 201-1031
Phone(917) 201-1031
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1255034427 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 NY · 117881-01
4234 GUNTHER AVE, Bronx, NY 10466
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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 Medorie Petersen-woodburn's NPI number?

The NPI number for Medorie Petersen-woodburn is 1255034427. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Medorie Petersen-woodburn located?

Medorie Petersen-woodburn practices at 4234 Gunther Ave, Bronx, NY 10466. The listed phone number is (917) 201-1031.

What is Medorie Petersen-woodburn'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 Medorie Petersen-woodburn was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.