MARJORIE PETERSON (NPI# 1861568503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861568503 |
| Entity Type | Individual |
| Full Name | MARJORIE PETERSON |
| Credential | LCSW |
| Practice Address |
6 Tods Driftway Old Greenwich CT 06870-2412 |
| Practice Telephone | 2032571411 |
| Practice Fax Number | 2032571411 |
| Mailing Telephone | 2032571411 |
| Mailing Fax Number | 2032571411 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
03248672006051 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004172912 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098154 | Marjorie Peterson | Technician | 26 Hidden Hills Dr, Saint Charles, MO 63303-5317 | 2015-11-13 |
| 1447594932 | Marjorie Mary Peterson | Occupational Therapy Assistant | 2035 21 1/4 St Apt 1, Rice Lake, WI 54868-8809 | 2012-11-21 |
| Street Address |
6 TODS DRIFTWAY |
| City | OLD GREENWICH |
| State | CT |
| Zip Code | 06870-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033654389 | Hannah Noel Smith | Social Worker | 1445 E Putnam Ave Ste 1, Old Greenwich, CT 06870 | 2016-12-22 |
| 1386191864 | Priscilla J Whittington | Personal Emergency Response Attendant | 1336 East Putnam Ave, Old Greenwich, CT 06870 | 2016-09-01 |
| 1457778193 | Advanced Ophthalmology of Connecticut LLC | Ophthalmology | 1455 East Putnam Avenue, Old Greenwich, CT 06870 | 2014-03-19 |
| 1225370422 | The Greenwich Medical Skincare and Laser Spa | Clinic/Center | 1345 E. Putnam Ave, The Greenwich Medical Skincare and Laser Spa, Old Greenwich, CT 06870 | 2013-03-26 |
| 1033430251 | Alona Altman | Speech-Language Pathologist | 27 Macarthur Dr., Old Greenwich, CT 06870 | 2010-06-22 |
| 1023344462 | Sarah Kate Leahey | Speech-Language Pathologist | 56 Havemeyer Lane, Old Greenwich, CT 06870 | 2009-10-20 |
| 1033345574 | Mary Ellen Foulds Lorefice | Social Worker | 39 Ballwood Road, Old Greenwich, CT 06870 | 2009-06-10 |
| 1215151204 | Nelly Tsivina | Acupuncturist | 13 Arcadia Rd, Suite #9, Old Greenwich, CT 06870 | 2007-04-12 |
| 1568580645 | Abilis Inc | Intermediate Care Facility, Mentally Retarded | 15 Cross Ridge, Garc, Old Greenwich, CT 06870 | 2007-03-27 |
| 1588702559 | Edward J Mamelok | Technician/Technologist | 15 Arcadia Road, Old Greenwich, CT 06870 | 2007-02-02 |
| Find all providers in zip 06870 | ||||
| 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 |
|---|---|---|---|---|
| 1225589914 | Jean M. Wynne | Social Worker | 27 Tait Rd, Old Greenwich, CT 06870-1828 | 2016-10-18 |
| 1063863868 | Mary Elizabeth Karlan | Social Worker | 7 Keofferam Rd, Suite B, Old Greenwich, CT 06870-2112 | 2016-06-23 |
| 1033345574 | Mary Ellen Foulds Lorefice | Social Worker | 39 Ballwood Road, Old Greenwich, CT 06870 | 2009-06-10 |
| 1396879797 | Jamie Lee Klintberg | Social Worker | 13 Arcadia Rd Ste 17, Old Greenwich, CT 06870-1742 | 2007-03-15 |
| 1184712176 | Judith Deborah Croen | Social Worker | 3 West End Avenue, Old Greenwich, CT 06870-9203 | 2006-10-11 |
| 1568873180 | Jamie Klintberg, Lcsw, LLC | Social Worker | 13 Arcadia Rd Ste 17, Old Greenwich, CT 06870-1742 | 2014-05-16 |
| 1841639556 | Revision Studio LLC Therapy and Counseling Services | Social Worker | 3 West End Avenue, Old Greenwich, CT 06870-9203 | 2013-06-17 |
| 1285961235 | Beth A O'malley | Social Worker | 13 Arcadia Rd, Suite 17, Old Greenwich, CT 06870-1742 | 2009-11-12 |
| 1427125293 | Laura Elizabeth Dermer | Social Worker | 3 W End Ave, Old Greenwich, CT 06870-1640 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811805 | Nancy Harvey Lcsw, LLC | Social Worker | 14 Randal Ave, West Hartford, CT 06110-1743 | 2020-11-06 |
| 1316548290 | Katherine Ducharme Lcsw | Social Worker | 370 High St Apt 3, Torrington, CT 06790-6381 | 2020-11-05 |
| 1053911677 | Linda Rich | Social Worker | 100 Alba Dr, Bristol, CT 06010-2601 | 2020-11-01 |
| 1578163614 | Ella Behavioral Health and Consulting LLC | Social Worker | 602 Cambridge Cmns, Middletown, CT 06457-5871 | 2020-10-28 |
| 1184223612 | Professional Exchange Network LLC | Social Worker | 15 Pond St, Unionville, CT 06085-1521 | 2020-10-26 |
| 1659971190 | Laura Minatti | Social Worker | 210 Crestwood Dr, Guilford, CT 06437-1322 | 2020-10-26 |
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1740889120 | Jennifer Ayers Lcsw, LLC | Social Worker | 7 Avenue East Ext, Beacon Falls, CT 06403-1428 | 2020-10-18 |
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | OLD GREENWICH |
| Zip Code | 06870 |
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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.