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GAYLE PETERSON LCSW,PHD
NPI 1033211883
Social Worker - Clinical in Grass Valley, CA

Active since September 02, 2006Opted out of Medicare · through Jan 1, 2028
19861 BUCK RIDGE RD, GRASS VALLEY, CA 95949(530) 346-2534(530) 346-2534 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gayle Peterson Lcsw,phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYLE PETERSON LCSW,PHD (NPI 1033211883) is an individual clinical provider in Grass Valley, California, licensed in California (7603) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1033211883
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAYLE PETERSONCredential: LCSW,PHD
Location Address19861 BUCK RIDGE RDGrass Valley, CA 95949-7027
Mailing Address19861 Buck Ridge RdGrass Valley, CA 95949-7027 · (530) 346-2534 · Fax (530) 346-2534
Phone(530) 346-2534
Fax(530) 346-2534
Sole ProprietorYes
Enumeration DateSeptember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033211883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 7603
Definition
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.
19861 BUCK RIDGE RD, Grass Valley, CA 95949
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gayle Peterson Lcsw,phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gayle Peterson's NPI number?

The NPI number for Gayle Peterson is 1033211883. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Gayle Peterson located?

Gayle Peterson practices at 19861 Buck Ridge Rd, Grass Valley, CA 95949. The listed phone number is (530) 346-2534.

What is Gayle Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gayle Peterson enrolled in Medicare?

No. Gayle Peterson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gayle Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.