Active NPI
Courtney Lauren Peters, LICSW
- Clinical Social Worker
- Stanwood, WA
National Provider Identifier
1285411710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60566754
- Practice address
- 3005 272ND PL NW
Stanwood, WA 98292-8187 - Phone
- (206) 370-2439
- NPI assigned
- Sep 8, 2023
- Last updated
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | LW60566754 | WA | Primary |
Addresses
Primary practice location
3005 272ND PL NW
Stanwood, WA 98292-8187
Mailing address
9229 271St St NW PO Box 2661
Stanwood, WA 98292
Phone (206) 370-2439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 30, 2024 through Sep 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60566754 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1285411710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 271ST ST NW PO BOX 2661",
"city": "STANWOOD",
"state": "WA",
"postal_code": "98292",
"telephone_number": "206-370-2439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 272ND PL NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928187",
"telephone_number": "206-370-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "COURTNEY",
"middle_name": "LAUREN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60566754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.