Hattie Anna Peterson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3421 Garrison St NW
Washington, DC 20008-2038

Phone

(202) 966-1876

Fax

(202) 966-1876

NPI assigned

Nov 2, 2005

Last updated

Mar 28, 2014By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Gordon Kirschner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jody Tabner Thayer LLC

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1871064535
  NPD (past)
• Willow Oak Therapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1386620581
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1326039041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 GARRISON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082038",
            "telephone_number": "202-966-1876",
            "fax_number": "202-362-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 GARRISON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082038",
            "telephone_number": "202-966-1876",
            "fax_number": "202-966-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HATTIE",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326039041",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GORDON",
            "last_name": "KIRSCHNER",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daishya Peterson
• Drayor Peterson, HHA
• Elisha E Peterson, M.D.
• Gordon William Peterson III
• Haley Peterson, LCSW
• Jamie Peterson, LPC, ATR-BC
• Karen Peterson
• Katrina Peterson
• Kia Marie Peterson
• Larry J Peterson, DDS

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.