Mary Lorraine Petersen, Csw PC
NPI 1568892214ActiveOrganization· Social Worker, Clinical· Coram, NY
Social Worker, Clinical in Coram, New York, registered in NPPES in November 2013. The authorized official on file is Mary Lorraine Petersen, LCSW, President.
Overview
| NPI | 1568892214 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2013 |
| Last updated in NPPES | Dec 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | R023294 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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