Kathie Peterson, LICSW
Social Worker, School in Hyannis, MA. Individual provider (NPI-1).
NPI number1790731479
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790731479
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathie Peterson
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | 106738 | MA | Yes |
| 101YM0800X | Counselor, Mental Health | – | MA |
Practice location
1019 Rt 132Hyannis, MA 02601
Phone 508-778-1839
Mailing address
182 Skonknet RdCenterville, MA 02632
Phone 508-775-2253
Is something wrong?
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Other School Social Worker providers in Hyannis, MA
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