BETHANY PETERSEN LMSW
NPI 1801764659
Social Worker - Clinical in Endicott, NY

Active since October 24, 2025
515 E MAIN ST, ENDICOTT, NY 13760(607) 444-3318 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bethany Petersen Lmsw NPPES

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

BETHANY PETERSEN LMSW (NPI 1801764659) is an individual clinical provider in Endicott, New York, licensed in New York (127310-01) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1801764659
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY PETERSENCredential: LMSW
Location Address515 E MAIN STEndicott, NY 13760-5023
Mailing Address515 E Main StEndicott, NY 13760-5023 · (607) 444-3318
Sole ProprietorNo
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1801764659 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 · 127310-01
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.
515 E MAIN ST, Endicott, NY 13760

Other Providers at the Same Location NPPES 4

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

Social Worker
515 E MAIN ST
ENDICOTT, NY 13760
Social Worker
515 E MAIN ST
ENDICOTT, NY 13760
Community/Behavioral Health
515 E MAIN ST
ENDICOTT, NY 13760
Social Worker
515 E MAIN ST
ENDICOTT, NY 13760

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 Bethany Petersen's NPI number?

The NPI number for Bethany Petersen is 1801764659. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Bethany Petersen located?

Bethany Petersen practices at 515 E Main St, Endicott, NY 13760. The listed phone number is (607) 444-3318.

What is Bethany 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 Bethany Petersen was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.