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

Mr. Lance Taylor Peterson, LISW

Individual provider Clinical Social Worker · NPI 1205047057

Mr. Lance Taylor Peterson, LISW is a Clinical Social Worker in Lyndhurst, Ohio. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1551 Commodore Rd
Lyndhurst, OH 44124-2825
Phone: (216) 544-4407
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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 I 0600042

Record details

NPI number1205047057
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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