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

Individual provider Clinical Social Worker · NPI 1760972350

Ellen Peterson, LCSW is a Clinical Social Worker in Ithaca, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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

402 N Cayuga St
Ithaca, NY 14850-4291
Phone: (607) 793-4668
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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 PR043246-1

Record details

NPI number1760972350
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 18, 2018
Last updated in NPPESMay 18, 2018
Mailing address402 N Cayuga St, Ithaca, NY 14850-4291

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