Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Lorraine Petersen, Csw PC

Organization Clinical Social Worker · NPI 1568892214

Mary Lorraine Petersen, Csw PC is a Clinical Social Worker in Coram, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 Hilltop Ct
Coram, NY 11727-3640
Phone: (631) 988-9812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R023294 (NY)

Record details

NPI number1568892214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Lorraine Petersen — President · (631) 988-9812
NPI enumeratedNovember 16, 2013
Last updated in NPPESDecember 6, 2013
Mailing address705 Hilltop Ct, Coram, NY 11727-3640

Other providers in Coram