IndividualActive
Elishama Petersen
NPI 1003682287 · Clinical Social Worker · Wynantskill, NY
Elishama Petersen is a Clinical Social Worker provider in Wynantskill, NY (NPI 1003682287).
Provider details
- NPI number
- 1003682287
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Phone: (518) 283-6500
Street-level locationGet directions
Mailing address
Po Box 219
Wynantskill, NY 12198-0219
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Frequently asked questions
- What is Elishama Petersen's NPI number?
- Elishama Petersen's National Provider Identifier (NPI) is 1003682287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elishama Petersen's specialty?
- Elishama Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Elishama Petersen located?
- Elishama Petersen's practice location on file with NPPES is 614 Cooper Hill Rd, Wynantskill, NY 12198-2906.
- What is Elishama Petersen's phone number?
- The practice phone number listed in the NPPES registry for Elishama Petersen is (518) 283-6500.
- Is Elishama Petersen's NPI active?
- Yes — Elishama Petersen's NPI (1003682287) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.