IndividualActive
Bethany Peterson, LCSW
NPI 1861875734 · Clinical Social Worker · York, ME
Provider details
- NPI number
- 1861875734
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC17411 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
647 US Route 1 Ste 302
York, ME 03909-1689
Phone: (207) 651-5880
Approximate (ZIP-level) locationGet directions
Mailing address
59 Oak Ln
Wells, ME 04090-7023
Registry dates
- Enumerated
- 2015-07-09
- Last updated
- 2023-12-04
- Certified
- 2021-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.