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

Mary L Peterson, MSWACSW

Individual provider Clinical Social Worker · NPI 1306813548

Mary L Peterson, MSWACSW is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

2040 Raybrook SE Ste 103
Grand Rapids, MI 49546
Phone: (616) 942-8060
Fax: (616) 942-6690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801074847 (MI)

Record details

NPI number1306813548
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWACSW
Sole proprietorYes
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 8, 2007

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