Trisha S Peterson, RSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14521 Issued in FL

Practice address

110 Sanchez Ave
Edgewater, FL 32132-1638

Phone

(386) 481-4782

NPI assigned

Jul 28, 2016

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sea Change Counseling LLC

  • Clinical Social Worker
  • Edgewater, FL
  • NPI 1144920711
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1023561883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SANCHEZ AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321638",
            "telephone_number": "386-481-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SANCHEZ AVE",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321638",
            "telephone_number": "386-481-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TRISHA",
        "middle_name": "S",
        "credential": "RSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ormond Medical Arts (Complete Health Edgewater)
• Jeannine Parisi
• John M Parisi, RN
• Xymena Olene Partelow, MA CCC-SLP
• Carissa Peterson, ARNP
• Pinedale Gardens Assisted Living Inc.
• Victoria Plechac-Diaz, LCSW
• John G Ponder
• Jamie Ponti, APRN
• Roger Prieto, DDS

• Clinical Social Worker in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.