JERALEEN M. PETERSON LCSW
NPI 1063635563
Social Worker - Clinical in Rancho Cucamonga, CA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
10601 CIVIC CENTER DR STE 100L, RANCHO CUCAMONGA, CA 91730(909) 291-9349 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeraleen M. Peterson Lcsw NPPES

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

JERALEEN M. PETERSON LCSW (NPI 1063635563) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (LCS 28561) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1063635563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJERALEEN M. PETERSONCredential: LCSW
Location Address10601 CIVIC CENTER DR STE 100LRancho Cucamonga, CA 91730-3878
Mailing AddressPo Box 4571Rancho Cucamonga, CA 91729-4571 · (909) 291-9349 · Fax (888) 272-6076
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 17, 2018
NPI 1063635563 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 · LCS 28561
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.

10601 CIVIC CENTER DR STE 100L, Rancho Cucamonga, CA 91730

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeraleen M. Peterson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496023780
PECOS Enrollment IDI20170608002590
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jeraleen Peterson's NPI number?

The NPI number for Jeraleen Peterson is 1063635563. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Jeraleen Peterson located?

Jeraleen Peterson practices at 10601 Civic Center Dr Ste 100L, Rancho Cucamonga, CA 91730. The listed phone number is (909) 291-9349.

What is Jeraleen Peterson's specialty?

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

Is Jeraleen Peterson enrolled in Medicare?

Yes. Jeraleen Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeraleen Peterson was last updated on December 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.