NPIMap

Organization Active NPI

Julie Ann Peterson, P.a.

  • Clinical Social Worker
  • Norway, ME
National Provider Identifier
1952402224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC8164 Issued in ME
Legal business name
JULIE ANN PETERSON, P.A.
Practice address
28 Winter St
Unit 2
Norway, ME 04268-5620
Phone
(207) 890-8779
Fax
(207) 739-2453
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julie Ann Peterson, LCSWNPI 1790838159
Title
President
Phone
(207) 739-2454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC8164 ME Primary

Addresses

Primary practice location

28 Winter St
Unit 2
Norway, ME 04268-5620

Mailing address

PO Box 633
Norway, ME 04268-0633
Phone (207) 890-8779

Other identifiers 2

IdentifierTypeStateIssuer
27611000099MedicaidME
11328070OtherMECAQH PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

180 Main St
Norway, ME 04268
Phone (207) 743-9708

28 Winter St
Apt 2
Norway, ME 04268
Phone (207) 890-8779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952402224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042680633",
            "telephone_number": "207-890-8779",
            "fax_number": "207-739-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WINTER ST",
            "address_2": "UNIT 2",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685620",
            "telephone_number": "207-890-8779",
            "fax_number": "207-739-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ANN PETERSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-739-2454",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC8164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27611000099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "11328070",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.