Elisabeth Maria Peterleitner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126565 Issued in MA

Practice address

488 Grove St
Worcester, MA 01605-1240

Phone

(508) 755-0333

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Academy, Inc.

  • Behavior Analyst
  • Worcester, MA
  • NPI 1649759770
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1710547799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MORELAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091320",
            "telephone_number": "508-471-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051240",
            "telephone_number": "508-755-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 Main St Ste 460",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081817",
            "country_code": "US",
            "telephone_number": "508-796-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Jamesbury Dr",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016091201",
            "country_code": "US",
            "telephone_number": "508-751-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERLEITNER",
        "first_name": "ELISABETH",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "226771",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peterleitnere@youinc.org",
            "affiliation": "Y",
            "endpointDescription": "Internship",
            "affiliationName": "You Inc.",
            "address_1": "484 Main St Ste 460",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016081817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Peso, MD
• Peter Drob DMD PC
• Peter J Kazanovicz
• Peter P. Tomaiolo MD, PC
• Peter Tomaiolo
• Kerstin Peterleitner, DNP
• Dottie Peters
• Gary L. Peters, MD
• George B Peters III, M.D.
• Jazmine Peters

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, 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 Jan 22, 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.