Gordon Petersen, MSW, LICSW
NPI 1487746244 · Clinical Social Worker · Burlington, VT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Petersen, MSW, LICSW is a Clinical Social Worker provider in Burlington, VT (NPI 1487746244).
Provider details
- NPI number
- 1487746244
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 089-0000142 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gordon Petersen's NPI number?
- Gordon Petersen's National Provider Identifier (NPI) is 1487746244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Petersen's specialty?
- Gordon Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Gordon Petersen located?
- Gordon Petersen's practice location on file with NPPES is 166 Battery St, Burlington, VT 05401-5283.
- What is Gordon Petersen's phone number?
- The practice phone number listed in the NPPES registry for Gordon Petersen is (802) 862-3373.
- Does Gordon Petersen accept Medicare?
- Gordon Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gordon Petersen's NPI active?
- Yes — Gordon Petersen's NPI (1487746244) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.