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

MARY LORRAINE PETERSEN LCSW
NPI 1710083084
Social Worker - Clinical in Coram, NY

Active since September 15, 2006
705 HILLTOP CT, CORAM, NY 11727(631) 696-4355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lorraine Petersen Lcsw NPPES

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

MARY LORRAINE PETERSEN LCSW (NPI 1710083084) is an individual clinical provider in Coram, New York, licensed in New York (R023294) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1710083084
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY LORRAINE PETERSENCredential: LCSW
Location Address705 HILLTOP CTCoram, NY 11727
Mailing Address705 Hilltop CtCoram, NY 11727 · (631) 988-9812
Phone(631) 696-4355
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710083084 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 ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedN10491NY

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, CSW PC
Social Worker (Clinical)
705 HILLTOP CT
CORAM, NY 11727
Suffolk County (631) 988-9812

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 Petersen's NPI number?

The NPI number for Mary Petersen is 1710083084. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mary Petersen located?

Mary Petersen practices at 705 Hilltop Ct, Coram, NY 11727. The listed phone number is (631) 696-4355.

What is Mary Petersen'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 Petersen 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.