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

Dax Peters, LCSW

Individual provider Clinical Social Worker · NPI 1336537703

Dax Peters, LCSW is a Clinical Social Worker in Allston, Massachusetts. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Maine.

Years since qualifying
8
Licensed in
ME
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

14 Fordham Rd
Allston, MA 02134-3006
Phone: (617) 783-9676
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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 LC20131 (ME)

Record details

NPI number1336537703
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 7, 2015
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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