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

Mary Lorraine Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1710083084

Mary Lorraine Petersen, LCSW is a Clinical Social Worker in Coram, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

705 Hilltop Ct
Coram, NY 11727
Phone: (631) 696-4355
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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 R023294 (NY)

Record details

NPI number1710083084
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007

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