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MARY L PETERSON MSW ACSW
NPI 1306813548
Social Worker - Clinical in Grand Rapids, MI

Active since March 07, 2006
2040 RAYBROOK SE, SUITE 103, GRAND RAPIDS, MI 49546(616) 942-8060(616) 942-6690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary L Peterson Msw Acsw NPPES

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

MARY L PETERSON MSW ACSW (NPI 1306813548) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801074847) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1306813548
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY L PETERSONCredential: MSW ACSW
Location Address2040 RAYBROOK SE, SUITE 103Grand Rapids, MI 49546
Mailing Address2040 Raybrook St Se, Suite 103Grand Rapids, MI 49546-7718 · (616) 942-8060 · Fax (616) 942-6690
Phone(616) 942-8060
Fax(616) 942-6690
Sole ProprietorYes
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306813548 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 · 6801074847
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.
2040 RAYBROOK SE, Grand Rapids, MI 49546
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Other Identifiers 1

Medicare ID-Type Unspecified0N71880MI

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 1306813548. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Mary Peterson located?

Mary Peterson practices at 2040 Raybrook SE Suite 103, Grand Rapids, MI 49546. The listed phone number is (616) 942-8060.

What is Mary Peterson'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 Peterson 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.