NPIMap

Organization Active NPI

Ann Marie Peterson, LLC

  • Clinical Social Worker
  • Lisle, IL
National Provider Identifier
1255820734
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANN MARIE PETERSON, LLC
Practice address
6408 Briarcliff CT
Lisle, IL 60532-4204
Phone
(630) 909-3781
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Ann Marie Peterson, LCSW
Title
Owner
Phone
(630) 909-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6408 Briarcliff CT
Lisle, IL 60532-4204

Mailing address

6408 Briarcliff CT
Lisle, IL 60532-4204
Phone (630) 909-3781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1255820734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 BRIARCLIFF CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324204",
            "telephone_number": "630-909-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 BRIARCLIFF CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324204",
            "telephone_number": "630-909-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARIE PETERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-909-3781",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.