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

Theresa Ann Peterson, LCSW

Individual provider Mental Health Counselor · NPI 1760534416

Theresa Ann Peterson, LCSW is a Clinical Social Worker in Erie, Pennsylvania. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2007
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

4845 W Lake Rd Ste 102
Erie, PA 16505-2973
Phone: (814) 218-3054
Fax: (814) 725-0707
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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 CW015447 (PA)

Record details

NPI number1760534416
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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