Active NPI
Linda M. Peterson, LCSW
- Clinical Social Worker
- Chadds Ford, PA
National Provider Identifier
1215013537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW-001408-L
- Practice address
- 1224 Baltimore Pike
Chadds Ford, PA 19317-7380 - Phone
- (610) 399-3168
- Fax
- (610) 399-3168
- NPI assigned
- Oct 29, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW-001408-L | PA | Primary |
Addresses
Primary practice location
1224 Baltimore Pike
Chadds Ford, PA 19317-7380
Mailing address
239 Green Tree Dr
West Chester, PA 19382-8408
Phone (610) 399-3168
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0464557000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 4213811 | Other | PA | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW-001408-L | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215013537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 GREEN TREE DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828408",
"telephone_number": "610-399-3168",
"fax_number": "610-399-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 BALTIMORE PIKE",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193177380",
"telephone_number": "610-399-3168",
"fax_number": "610-399-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LINDA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW-001408-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0464557000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4213811",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chadds Ford, PA
- Orthodontic Associates of Delaware Valley
- Kristen M Palmer
- Dev B Patel, DDS
- Mitali Patel, (DMD)
- Nina M Patterson, LCSW
- Meredith Petruccelli, PHD, NCSP
- Steven James Pettineo, MPT, DPT, CSCS
- Philadelphia Health and Wellness,LLC. (Suboxonecare.com)
- Cecile Marie Pileggi, M.D.
- Platinum Dental Specialties, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.