Melissa Marie Peters, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005206 Issued in VA

Practice address

25152 Elk Lick Rd Ste 220
South Riding, VA 20152-4507

Phone

(703) 989-3409

NPI assigned

May 9, 2013

Last updated

May 9, 2013By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological and Life Skills Associates, P.C.

  • Psychologist
  • Woodbridge, VA
  • NPI 1619066727
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1942645429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42102 FIDDLEHEAD PL",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053007",
            "telephone_number": "703-989-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25152 ELK LICK RD STE 220",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201524507",
            "telephone_number": "703-989-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Nguyen, D.D.S.
• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Lake Manassas OB/GYN)
• Nova Behavioral Health and Wellness
• Pediatric Dentistry of South Riding
• Pediatric Therapy Services of Loudoun County
• Wayne Oliver Powell, LPC
• Archana R Rejintala
• Riding Plaza Dental Care, PLLC
• Katherine Robertson
• Lauren Romano

• Clinical Social Worker in South Riding, VA
• Providers in South Riding, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.