VIVIAN PETERSON (NPI# 1154435626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435626 |
| Entity Type | Individual |
| Full Name | VIVIAN PETERSON |
| Credential | LICSW |
| Practice Address |
269 Union St Lynn MA 01901 |
| Mailing Address |
Po Box 526 Lynn MA 01903 |
| Practice Telephone | 7815957747 |
| Practice Fax Number | 7815957990 |
| Mailing Telephone | 7815962502 |
| Mailing Fax Number | 7815963966 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1017472 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083653778 | Vivian Marie Peterson | Internal Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2006-06-06 |
| Street Address |
269 UNION ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111711 | Melinda D Jones | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2005-08-12 |
| 1245830900 | Angel Felix Rosado Mencia | Dentist | 269 Union St, Lynn, MA 01901-1314 | 2020-10-30 |
| 1114525342 | Nerla Batraville | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-09 |
| 1497352736 | Gaelle A Wagnac | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-08 |
| 1679170153 | Melissa Chenard | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-07 |
| 1174137665 | Stacey Marie Anzalone | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-09-02 |
| 1801409511 | Devin Green | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-08-24 |
| 1891306643 | Theresa Goretti | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-08-14 |
| 1306467972 | Aishetu Kutigi Abubakar | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-05-05 |
| 1508487505 | Jennifer Gonzalez | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558400 | Elyssa Diamond | Social Worker | 8 Woodlawn St, Lynn, MA 01904-2844 | 2020-01-27 |
| 1811462641 | Mindy R Celona | Social Worker | 139 Woodlawn St, Lynn, MA 01904-2845 | 2018-10-08 |
| 1710452883 | Dianne Kuzia Hills | Social Worker | 98 Willow St, Lynn, MA 01901-1109 | 2018-10-04 |
| 1417432345 | Brittany L Cunningham | Social Worker | 500 Lynnfield St Unit East3, Lynn, MA 01904-1424 | 2018-09-26 |
| 1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1841790862 | Mckenzie Ferguson | Social Worker | 330 Lynnway Ste 201, Lynn, MA 01901-1713 | 2018-02-16 |
| 1396253688 | Pamela Fineman Maltz | Social Worker | 33 N Common St, Lynn, MA 01902-4311 | 2018-01-20 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1033655501 | Francis Howard Crowley | Social Worker | 37 Friend Street, Element Care, Lynn, MA 01902 | 2017-01-09 |
| Find all providers in LYNN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.