Active NPI
Terry Lynn Peterson, LMSW
- Social Worker
- Houston, TX
National Provider Identifier
1154575017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 52185
- Practice address
- 1601 S Shepherd Dr Apt 115
Houston, TX 77019-3534 - Phone
- (713) 927-9892
- Fax
- (281) 442-4904
- NPI assigned
- Nov 5, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 52185 | TX | Primary |
Addresses
Primary practice location
1601 S Shepherd Dr Apt 115
Houston, TX 77019-3534
Mailing address
1601 S Shepherd Dr Apt 115
Houston, TX 77019-3534
Phone (713) 927-9892
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1154575017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S SHEPHERD DR APT 115",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770193534",
"telephone_number": "713-927-9892",
"fax_number": "281-442-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S SHEPHERD DR APT 115",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770193534",
"telephone_number": "713-927-9892",
"fax_number": "281-442-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "TERRY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "52185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.