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

Bethany Petersen, LMSW

Individual provider Clinical Social Worker · NPI 1801764659

Bethany Petersen, LMSW is a Clinical Social Worker in Endicott, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

515 E Main St
Endicott, NY 13760-5023
Phone: (607) 444-3318
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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 127310-01 (NY)

Record details

NPI number1801764659
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 24, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address515 E Main St, Endicott, NY 13760-5023

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