Active NPI
Sharon Dawn Peterson
- Social Worker
- Ewing, NJ
National Provider Identifier
1134576457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1034100000X
- Practice address
- 400 Beechwood Ave
Ewing, NJ 08618-2524 - Phone
- (609) 433-3377
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1034100000X | NJ | Primary |
Addresses
Primary practice location
400 Beechwood Ave
Ewing, NJ 08618-2524
Mailing address
400 Beechwood Ave
Ewing, NJ 08618-2524
Phone (609) 433-3377
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034100000X | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1134576457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BEECHWOOD AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086182524",
"telephone_number": "609-433-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BEECHWOOD AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086182524",
"telephone_number": "609-433-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SHARON",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "1034100000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.