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NPI Code Detail

MEDICARE: ELIZABETH MEGAN PETERS

MEDICARE: ELIZABETH MEGAN PETERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0906015062VA
2106S00000XBehavior Technician
3104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NAOTHERCTNO INSURANCE

General Provider Information

NPI Number : 1558953638
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MEGAN PETERS
Provider Business Mailing Address
First Line : 701 KENMORE AVE STE 105
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-5792
Country : US
Telephone Number : 860-940-1600
Fax Number :
Provider Business Practice Location Address
First Line : 701 KENMORE AVE STE 105
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-5792
Country : US
Telephone Number : 860-940-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 06/01/2026

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Directions to “ ELIZABETH MEGAN PETERS ” Practice Location

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