Individual provider Active NPI

Lauren Rachel Petersen, L.C.S.W.

  • Clinical Social Worker
  • Livingston, NJ
National Provider Identifier
1649619586
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05659900 Issued in NJ
Practice address
2 W Northfield Rd Ste 209
Livingston, NJ 07039-3758
Phone
(908) 367-3156
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 44SC05659900 NJ Primary

Addresses

Primary practice location

2 W Northfield Rd Ste 209
Livingston, NJ 07039-3758

Mailing address

2 W Northfield Rd Ste 209
Livingston, NJ 07039-3758
Phone (908) 367-3156

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
44SC05659900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Wellness Counseling, LLC Clinical CurrentSince Sep 13, 2020 Accepting new patients

Locations

2 W Northfield Rd
Ste 209
Livingston, NJ 07039
Phone (908) 367-3156

1021 Stuyvesant Ave
Union, NJ 07083
Phone (908) 367-3156

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1649619586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD STE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393758",
            "telephone_number": "908-367-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD STE 209",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393758",
            "telephone_number": "908-367-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "LAUREN",
        "middle_name": "RACHEL",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05659900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.