PROF. JULIE ANN PETERSON LCSW NPI 1790838159

NPI Information

  • NPI: 1790838159
  • Provider Name: PROF. JULIE ANN PETERSON, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 28 WINTER ST
    UNIT 2
    NORWAY, ME
    ZIP 04268
  • Phone: (207) 890-8779

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NPI Details

PROF. Julie Ann Peterson, LCSW is a clinical social worker in Norway, ME. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PROF. Julie Ann Peterson, LCSW NPI is 1790838159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 WINTER ST
UNIT 2
NORWAY, ME
ZIP 04268-620
Phone: (207) 890-8779
Fax: (207) 739-2423

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLC8164MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111328070OTHERMAINECAQH
2276110000MEDICAIDMAINE
3205225180OTHERMAINETRICARE
4PE MM9928MEDICARE ID-TYPE UNSPECIFIEDMAINE
5098465OTHERMAINEANTHEM BC BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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