Michael Terrill Peterson, LCSW is a
Social Worker based in Falls Church, Virginia. Michael Terrill Peterson is licensed to practice in Illinois (license number 1490164) and his current practice location is
2020 Peach Orchard Dr Apt 31, Falls Church, Virginia. He can be reached at his office (for appointments etc.) via phone at
(217) 621-1331.
NPI number for Michael Terrill Peterson is 1972852978 and his current mailing address is 2020 Peach Orchard Dr Apt 31, Falls Church, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972852978.
Healthcare Provider's Profile
Full Name | Michael Terrill Peterson |
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Gender | Male |
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Speciality | Social Worker |
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Location | 2020 Peach Orchard Dr Apt 31, Falls Church, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972852978
- Provider Enumeration Date: 09/05/2012
- Last Update Date: 04/17/2023
Medical Identifiers
Medical identifiers for Michael Terrill Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972852978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 1490164 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Terrill Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Terrill Peterson, LCSW 2020 Peach Orchard Dr Apt 31, Falls Church, VA 22043-2048 Ph: (217) 621-1331 | Michael Terrill Peterson, LCSW 2020 Peach Orchard Dr Apt 31, Falls Church, VA 22043-2048 Ph: (217) 621-1331 |
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