Grace Harris Peterson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

229252 Issued in MA

Practice address

132 Old River Rd Ste 100
Lincoln, RI 02865-1158

Phone

(781) 327-0827

NPI assigned

Jan 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1437911237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 L ST UNIT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021271662",
            "telephone_number": "617-694-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651158",
            "telephone_number": "781-327-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GRACE",
        "middle_name": "HARRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "229252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halee Joyce Peloso, PA-C
• Jan J Penkala, MD
• Annanda Perpetuo
• Sara Susan Perrotta, HIS
• Denise M Peterson, M.ED., BCBA
• Corey Elizabeth Picken, PA-C
• Ernesto Alfonso Piedra, D.D.S.
• Melissa S Pincince, MS, RD, LDN
• Karla Pineda
• Robin Louise Pino, PT

• Clinical Social Worker in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.