Alyssa Rachel Petersel, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

100712 Issued in NY

Practice address

216 E 14TH St
New York, NY 10003

Phone

(631) 374-8997

NPI assigned

Aug 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1255857058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 STATE ST APT 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "631-374-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E 39th St Ste 701",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160125",
            "country_code": "US",
            "telephone_number": "646-661-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pierrepont Plz Fl 12",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112012776",
            "country_code": "US",
            "telephone_number": "646-661-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEL",
        "first_name": "ALYSSA",
        "middle_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda K Peters, RN
• Maurice Robert Peters, M.D.
• Natalia Oliva Peters, DPM
• Rita Renee Peters
• Shirin Peters, M.D.
• Danielle Lauren Petersel, M.D.
• Frances Elizabeth Petersen-Fitzpatrick, MPH
• Alexandra Rae Petersen, PT, DPT, CSCS
• Alixandra Lin Petersen, DPT
• Bert Petersen, MD

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.