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

Individual provider Mental Health Counselor · NPI 1255034427

Medorie Petersen-Woodburn, LMSW is a Mental Health Counselor in Bronx, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4234 Gunther Ave
Bronx, NY 10466-2008
Phone: (917) 201-1031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 117881-01 (NY)

Record details

NPI number1255034427
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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