Jennifer Marie Peterson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116019 Issued in NY

Practice address

664 Aaron CT
Kingston, NY 12401-2968

Phone

(845) 705-7193

NPI assigned

Sep 3, 2013

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1942634472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 STATE ROUTE 213",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875331",
            "telephone_number": "845-705-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 AARON CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012968",
            "telephone_number": "845-705-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "116019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Perry, DDS
• Ryne Perry
• Samantha Jo Perry, CAS, NCSP
• Jennifer Persad-Sikula, OT
• Michael Vincent Persico, M.S
• Erica Dawn Petosa, MSW
• Jessica Li Phillips, LMSW
• Lisa Marie Phillips, LCSW, CASAC-M
• Physician at Newburgh
• Leonard K Pickard, M.D.

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.