Catherine Sheehan Peterson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904004587 Issued in VA

Practice address

405 N Washington St Ste 102
Falls Church, VA 22046-3410

Phone

(703) 682-2123

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cahterine McAuliffe Sheehan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1356791289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-682-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST STE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-682-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CATHERINE",
        "middle_name": "SHEEHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004587",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAHTERINE",
            "last_name": "SHEEHAN",
            "middle_name": "MCAULIFFE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Persona Home Health
• Peter C. Latkin MD PC
• Kelli G Peters, PA-C
• Peace O Peters, NP
• Veronica Petersen
• Michael Terrill Peterson, LCSW
• Rebecca Jane Peterson, PH.D.
• James Michael Petko, D.P.M.
• Stacia D Petrancosta, PA-C
• Kathleen R Petro, M.D.

• Mental Health Counselor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.