Karen L Peterson, PH.D. (LICSW)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW 101540 Issued in MA

Practice address

45 Addington Rd
Brookline, MA 02445-4519

Phone

(617) 734-2555

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669534152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ADDINGTON ROAD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454519",
            "telephone_number": "617-734-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ADDINGTON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454519",
            "telephone_number": "617-734-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D. (LICSW)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW 101540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Raymond Peteet, MD
• Peter a. Weiss, DMD
• Peter Brzoza, LLC
• Peter Mowschenson MD
• Erika Peter-Harp
• Kevin L Peterson, DMD
• Kathleen A Petruska, M.D.
• Silvia Rita Petuchowski, PH.D.
• Linda Louise Peverada, LICSW
• Gary Pfeifer

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.