Peters Professional Association LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC4750 Issued in ME

Legal business name

PETERS PROFESSIONAL ASSOCIATION LLC

Practice address

31 Bramhall St
Portland, ME 04102-3101

Phone

(207) 799-0092

Fax

(207) 699-4321

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Anne Peters, LCSW

Title

Owner

Phone

(207) 799-0092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1265769384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023101",
            "telephone_number": "207-799-0092",
            "fax_number": "207-699-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023101",
            "telephone_number": "207-799-0092",
            "fax_number": "207-699-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS PROFESSIONAL ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-799-0092",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne M Perry, APRN, BC
• John B Perry, DPM
• Renee Alison Perry
• Peter J Kazanovicz
• Peter T Cyr DMD PA
• Anne Ginder Peters, LCSW
• Meredith Leigh Petersen, M.S. CCC SLP
• Carrie Peterson, LCPC
• Elizabeth A. Peterson, PA-C
• Penny Peterson

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.