Active NPI
Gretchen Petersen
- School Social Worker
- West Newton, MA
National Provider Identifier
1003398561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1507 Washington St
West Newton, MA 02465-2219 - Phone
- (617) 965-0764
- NPI assigned
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
1507 Washington St
West Newton, MA 02465-2219
Mailing address
7 Attilio Cir
Milford, MA 01757-2139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1003398561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ATTILIO CIR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017572139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 WASHINGTON ST",
"city": "WEST NEWTON",
"state": "MA",
"postal_code": "024652219",
"telephone_number": "617-965-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "GRETCHEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.