Saul Petersky, LSWAIC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC70001165 Issued in WA

Practice address

670 Woodland Square Loop SE Ste 301
Lacey, WA 98503-1091

Phone

(360) 763-5828

NPI assigned

Aug 11, 2021

Last updated

Jun 26, 2025By the provider in NPPES

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1790180214
  NPD (past)

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1225703234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 WOODLAND SQUARE LOOP SE STE 301",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985031091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 WOODLAND SQUARE LOOP SE STE 301",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031091",
            "telephone_number": "360-763-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSKY",
        "first_name": "SAUL",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61133928",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC70001165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kate Perry
• Jared D Persinger, DDS
• Dayna Brooke Person, DO
• Monica Persson
• Kenneth R Petersen, RPH
• Peterson and Cammack, D.D.S., P.L.L.C
• Donald Peterson, MA-P
• Lahela Minerbi Peterson, LMHCA
• Sandra Anne Peterson
• Venn R Peterson, D.D.S.

• Social Worker in Lacey, WA
• Providers in Lacey, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.