Theresa Peterson-Hadden, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015447 Issued in PA

Legal business name

THERESA PETERSON-HADDEN, LLC

Practice address

1371 W 6TH St
Erie, PA 16505-2503

Phone

(814) 384-2423

Fax

(814) 725-0707

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Theresa Peterson-Hadden, LCSW

Title

Owner

Phone

(814) 218-3054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Ann Peterson, LCSW

  • Mental Health Counselor
  • Erie, PA
  • NPI 1760534416
  Medicare reassignment NPD
• Gerald Erdely, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1487608501
  NPD (past)
• Christine Kalie, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1144645078
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1366801250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-384-2423",
            "fax_number": "814-725-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-384-2423",
            "fax_number": "814-725-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA PETERSON-HADDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON-HADDEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-218-3054",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Way to Healthy Living
• The Wellness Collaborative
• Timothy McMichael Theisen, DMD
• Susheel Narain Thekkiam Muralidharan, M.D
• Therapy With Scarlett
• Mark Theuerkauf, MS. NCC.
• Sarah Thide
• Margrethe Thiesen
• Edward Alfred Thiry III, LSW, CAC
• Thomas F. Matta, PH.D., Inc.

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.