Individual provider Active NPI

Austin Lynn Peters, LCSWA

  • Clinical Social Worker
  • Rutherfordton, NC
National Provider Identifier
1568275097
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021742 Issued in NC
Practice address
182 W Court St
Rutherfordton, NC 28139-2805
Phone
(704) 487-4000
Fax
(704) 487-4005
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P021742 NC Primary

Addresses

Primary practice location

182 W Court St
Rutherfordton, NC 28139-2805

Mailing address

182 W Court St
Rutherfordton, NC 28139-2805
Phone (704) 487-4000

Other practice location 1

116 Lee St
Shelby, NC 28150-3839
Phone (704) 487-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021742NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1568275097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W COURT ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392805",
            "telephone_number": "704-487-4000",
            "fax_number": "704-487-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W COURT ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392805",
            "telephone_number": "704-487-4000",
            "fax_number": "704-487-4005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Lee St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503839",
            "country_code": "US",
            "telephone_number": "704-487-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "AUSTIN",
        "middle_name": "LYNN",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.