1. Home
  2. Directory
  3. New York
  4. Coram
  5. Social Worker
  6. NPI Profile

MARY LORRAINE PETERSEN, CSW PC
NPI 1568892214
Social Worker - Clinical in Coram, NY

Active since November 16, 2013
705 HILLTOP CT, CORAM, NY 11727(631) 988-9812 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mary Lorraine Petersen, Csw Pc NPPES

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

MARY LORRAINE PETERSEN, CSW PC (NPI 1568892214) is a healthcare organization registered as a clinical in Coram, New York and active in the NPI registry since November 2013. The organization lists Mary Lorraine Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1568892214
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY LORRAINE PETERSEN, CSW PC
Location Address705 HILLTOP CTCoram, NY 11727-3640
Mailing Address705 Hilltop CtCoram, NY 11727-3640 · (631) 988-9812
Phone(631) 988-9812
Organization SubpartNo
Authorized OfficialMary Lorraine PetersenPresident · (631) 988-9812
Enumeration DateNovember 16, 2013
Last NPPES UpdateDecember 6, 2013
✔ NPI 1568892214 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 NY · R023294
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.
705 HILLTOP CT, Coram, NY 11727
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MARY LORRAINE PETERSEN LCSW
Social Worker (Clinical)
705 HILLTOP CT
CORAM, NY 11727
Suffolk County (631) 696-4355

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 Lorraine Petersen, Csw PC's NPI number?

The NPI number for Mary Lorraine Petersen, Csw PC is 1568892214. It was assigned to this organization in the NPPES registry on November 16, 2013.

Where is Mary Lorraine Petersen, Csw PC located?

Mary Lorraine Petersen, Csw PC is located at 705 Hilltop Ct, Coram, NY 11727. The listed phone number is (631) 988-9812.

What is Mary Lorraine Petersen, Csw PC'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 Lorraine Petersen, Csw PC was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.