MS. FAITH C PETERSON (LICSW) – Social Worker, NPI 1063601987

MS. FAITH C PETERSON (LICSW) is a healthcare provider. based in Lynn, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 114793 (MA). The NPI Number for MS. FAITH C PETERSON (LICSW) is 1063601987

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. FAITH C PETERSON (LICSW)
NPI
1063601987
Phone
(781) 581-4400
Address
95 PLEASANT ST
Enumeration Date
16 October 2007
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8007358951
Graduation Year
1995 (31 years ago)
PAC ID
8921150426
Professional Enrollment ID
I20090714000616
Address ID
MA019072574SW440XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. FAITH C PETERSON (LICSW)

  • 95, Pleasant Street, Lynn, Essex County, Massachusetts, 01903, United States

    LYNN, MA 019011524

    Phone: (781) 581-4400

    Type: Location

  • 14, Essex Street, Swampscott, Essex County, Massachusetts, 01907-1840, United States

    SWAMPSCOTT, MA 019071226

    Phone: (781) 842-4290

    Type: Mailing

  • 440 HUMPHREY ST

    SWAMPSCOTT, MA 019072574

    Phone: (781) 581-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090714000616IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour18712$0
View full utilization report →

Insurance plans in this area (ZIP 01901)

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Reviews

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Frequently asked questions

What federal number belongs to MS. FAITH C PETERSON (LICSW)?
The federal identifier for MS. FAITH C PETERSON (LICSW) is NPI 1063601987.
Does this profile mean MS. FAITH C PETERSON (LICSW) is currently active?
Yes — MS. FAITH C PETERSON (LICSW) appears active in the national provider directory.
Does MS. FAITH C PETERSON (LICSW) list a primary specialty?
If you are matching referrals, note Social Worker for MS. FAITH C PETERSON (LICSW). Clinical services aligned with this taxonomy classification.
Does MS. FAITH C PETERSON (LICSW) practice in Massachusetts?
You will see Lynn, Massachusetts on file for MS. FAITH C PETERSON (LICSW) alongside any extra practice locations.
How can I contact MS. FAITH C PETERSON (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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