Active NPI
Desiree Peters, LCSW
- Clinical Social Worker
- Clinton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090877
- Practice address
- 101 College St
Clinton, NY 13323-1634 - Phone
- (315) 853-5532
- Fax
- (315) 853-1003
- NPI assigned
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 090877 | NY | Primary |
Addresses
Primary practice location
101 College St
Clinton, NY 13323-1634
Mailing address
2209 Genesee St
Business Office Room 315
Utica, NY 13501-5930
Phone (315) 801-3282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 3, 2026 through Jul 3, 2028
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.28 of 100
- Quality
- 75.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090877 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| MVHS Inc | Current | Accepting new patients |
Locations
101 College St
Clinton, NY 13323
Phone (315) 853-5532
3946 Oneida St
New Hartford, NY 13413
Phone (315) 624-8300
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
2209 Genesee St
Rm 315
Utica, NY 13501
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1285124453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"address_2": "BUSINESS OFFICE ROOM 315",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-801-3282",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COLLEGE ST",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231634",
"telephone_number": "315-853-5532",
"fax_number": "315-853-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DESIREE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2021-03-03",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.