Marisa Louise Peters, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109163 Issued in NY

Practice address

585 Stewart Ave Ste 700
Garden City, NY 11530-4785

Phone

(516) 380-0532

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1831664523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-380-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE STE 700",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304785",
            "telephone_number": "516-380-0532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117584905",
            "country_code": "US",
            "telephone_number": "516-799-3203 x216",
            "fax_number": "516-799-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MARISA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Perry
• Joseph Pesce, OTR/L
• Robert M Peskin, D.D.S.
• Chevanie Peter Cunningham
• Peter E Oneill MD PC
• Kirsten E Petersen, MA, CCC-SLP, TSLD,BE
• Glenn Austin Petraitis, PTA
• Nicholas Petrini, PA-C
• Lorraine Elizabeth Petrizzo, MS.ED, BCBA
• Eugene P Pezzollo, D.M.D.

• Social Worker in Garden City, NY
• Providers in Garden City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.