Amber Lee Peterson, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015070 Issued in NC

Practice address

2207 Delaney Dr Ste 107
Burlington, NC 27215-5263

Phone

(336) 684-9951

NPI assigned

Oct 13, 2020

Sex

Female

Sole proprietor

No

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1710585682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 N NC HIGHWAY 49",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178543",
            "telephone_number": "336-213-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 DELANEY DR STE 107",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155263",
            "telephone_number": "336-684-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Wallace Perry, FNP-C
• Perspectives Counseling & Consulting, Inc.
• August Richard Peters IV, RPH
• Lisa Petersen
• Ruth Petersen, MD
• Jamie Jo Peterson, DDS
• Jeremy Thomas Peterson, DPT
• Samantha Cates Pexa, DPT, ATC
• Pharaohs Pharmacy Inc
• Pharm-Save, Inc.

• Clinical Social Worker in Burlington, NC
• Providers in Burlington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.