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

Brad Edward Peterson, LISW-CP

Individual provider Clinical Social Worker · NPI 1710437918

Brad Edward Peterson, LISW-CP is a Clinical Social Worker in Spartanburg, South Carolina. Qualified in 2015, 11 years ago. Practices with Regenesis Organization Community Health Center, a 35-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2016
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Practice location Address checks out

460 Langdon St
Spartanburg, SC 29302-1614
Phone: (864) 582-2411
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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 17903 (SC)

Record details

NPI number1710437918
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESJune 4, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Regenesis Organization Community Health Center — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spartanburg