Individual provider Active NPI

Eric Dunham Peterson, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1194346858
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087356 Issued in NY
Practice address
265 Lorimer St Apt 817
Brooklyn, NY 11206-3683
Phone
(323) 677-1749
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 91959 CA
Clinical Social Worker 1041C0700X 087356 NY Primary

Addresses

Primary practice location

265 Lorimer St Apt 817
Brooklyn, NY 11206-3683

Mailing address

265 Lorimer St Apt 817
Brooklyn, NY 11206-3683
Phone (323) 677-1749

Other practice location 1

2095 Driftwood Cir
El Dorado Hills, CA 95762-3739
Phone (323) 677-1749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087356NYMDClinical Social Worker
91959CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1194346858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LORIMER ST APT 817",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063683",
            "telephone_number": "323-677-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LORIMER ST APT 817",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063683",
            "telephone_number": "323-677-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Driftwood Cir",
            "address_purpose": "LOCATION",
            "city": "El Dorado Hills",
            "state": "CA",
            "postal_code": "957623739",
            "country_code": "US",
            "telephone_number": "323-677-1749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIC",
        "middle_name": "DUNHAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91959",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.