MR. LANCE TAYLOR PETERSON (LISW) – Clinical Social Worker, NPI 1205047057

MR. LANCE TAYLOR PETERSON (LISW) is a healthcare provider. based in Lyndhurst, Ohio. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. I 0600042 (). The NPI Number for MR. LANCE TAYLOR PETERSON (LISW) is 1205047057

Main info

Male
Sole Proprietor
Name
MR. LANCE TAYLOR PETERSON (LISW)
NPI
1205047057
Phone
(216) 544-4407
Address
1551 COMMODORE RD
Enumeration Date
24 May 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. LANCE TAYLOR PETERSON (LISW)

  • 1551, Commodore Road, Lyndhurst, Cuyahoga County, Ohio, 44124, United States

    LYNDHURST, OH 441242825

    Phone: (216) 544-4407

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44124)

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Reviews

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Frequently asked questions

Can I cross-check MR. LANCE TAYLOR PETERSON (LISW) using NPI 1205047057?
NPI 1205047057 belongs to MR. LANCE TAYLOR PETERSON (LISW); compare other details if you need extra assurance.
Active or inactive — what applies to MR. LANCE TAYLOR PETERSON (LISW)?
You should see MR. LANCE TAYLOR PETERSON (LISW) as active in CMS-hosted NPPES data.
What kind of doctor is MR. LANCE TAYLOR PETERSON (LISW)?
MR. LANCE TAYLOR PETERSON (LISW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MR. LANCE TAYLOR PETERSON (LISW) located near Lyndhurst?
MR. LANCE TAYLOR PETERSON (LISW) currently maps to Lyndhurst, Ohio in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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