Active NPI
Kathie Peterson, LICSW
- School Social Worker
- Hyannis, MA
National Provider Identifier
1790731479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 106738
- Practice address
- 1019 RT 132
Hyannis, MA 02601 - Phone
- (508) 778-1839
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MA | ||
| School Social Worker | 1041S0200X | 106738 | MA | Primary |
Addresses
Primary practice location
1019 RT 132
Hyannis, MA 02601
Mailing address
182 Skonknet Rd
Centerville, MA 02632
Phone (508) 775-2253
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790731479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 SKONKNET RD",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "02632",
"telephone_number": "508-775-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 RT 132",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-778-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "KATHIE",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "106738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.