Maureen K. Peters, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111394 Issued in MA

Practice address

8 Grove St
Suite 303
Wellesley, MA 02482-7797

Phone

(508) 361-1224

Fax

(508) 358-8077

NPI assigned

Jan 8, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 8, 2022 through May 8, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346398450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WALTHAM RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781128",
            "telephone_number": "508-361-1224",
            "fax_number": "508-358-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GROVE ST",
            "address_2": "SUITE 303",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827797",
            "telephone_number": "508-361-1224",
            "fax_number": "508-358-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MAUREEN",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P08144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "478939",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Perez, PSYD
• Perla Pediatric Smiles
• Personal Physicians Healthcare PC
• Allison Kelly Peters
• Hannah Peters, PSY.D.
• Patricia M Peters, MD
• Nancy E. Peterson, M.ED.,CCC-A
• Jacqueline Petit, RDH
• Kristine Philbin, OT, OTR, MS
• Phillip D. McCrary, MD, PC

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.