Lisa Marie Peterson, LCSW
Social Worker, Clinical in Memphis, MO. Individual provider (NPI-1).
NPI number1801038948
StatusActive
Last updated in NPPESApr 6, 2009
Details
- NPI
- 1801038948
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Peterson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2009
- Last updated
- Apr 6, 2009
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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2008032217 | MO | Yes |
Practice location
215 S Main StMemphis, MO 63555-1425
Phone 660-465-7790
Mailing address
7816 Nw Milrey DrKansas City, MO 64152-2141
Phone 816-507-1981
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