National Provider Identifier
Stephanie Elizabeth Petersen, L.M.S.W.
Stephanie Elizabeth Petersen, L.M.S.W. is listed in the NPPES registry with a primary specialty of Social Worker in Palmyra, NY and a listed phone number of (315) 569-3053.
Profile Overview
- NPI
- 1487269759
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 13, 2020
- Last Updated
- September 13, 2020
Practice Location
- 153 Salzburg Vlg
- Palmyra, NY 14522-1343
Phone: (315) 569-3053
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1487269759
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Stephanie
- Middle Name
- Elizabeth
- Credential
- L.M.S.W.
- Mailing Street Address
- 153 Salzburg Vlg
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1343
- Mailing Country
- US
- Mailing Phone
- (315) 569-3053
- Practice Street Address
- 153 Salzburg Vlg
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1343
- Practice Country
- US
- Practice Phone
- (315) 569-3053
- Enumeration Date
- September 13, 2020
- Last Updated
- September 13, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- September 13, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)