Lee Mumford Peterson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1030870-SW-LICSW Issued in MA

Practice address

14 Old Farm Rd
Dedham, MA 02026-4115

Phone

(973) 558-4951

NPI assigned

Sep 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1700368941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLD FARM RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OLD FARM RD",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264115",
            "telephone_number": "973-558-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Shawmut Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020211408",
            "country_code": "US",
            "telephone_number": "781-830-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LEE",
        "middle_name": "MUMFORD",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1030870-SW-LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Perednia, D.P.T.
• Scott E Perkins, V.M.D.
• Remony Perlman
• Marcia Sherman Perna, MSW,LICSW
• Gloria Perng
• Melissa Petit-Homme
• Michael Steven Petrik, MSC, OD
• Katherine Petrizzo, PHARMD, RPH
• Lisbeth Elle Petrozza
• Melissa Ann Phillips

• Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.