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LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C.
NPI 1063652238
Social Worker - Clinical in Bloomington, IN

Active since March 02, 2009
901 S ROGERS ST, SUITE 202, BLOOMINGTON, IN 47403(812) 369-7683 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laura Petersen, M.s.w., L.c.s.w., L.l.c. NPPES

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

LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C. (NPI 1063652238) is a healthcare organization registered as a clinical in Bloomington, Indiana and active in the NPI registry since March 2009. The organization lists Laura Christine Petersen, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1063652238
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLAURA PETERSEN, M.S.W., L.C.S.W., L.L.C.
Location Address901 S ROGERS ST, SUITE 202Bloomington, IN 47403-4756
Mailing Address901 S Rogers St, Suite 202Bloomington, IN 47403-4756 · (812) 369-7683
Phone(812) 369-7683
Organization SubpartNo
Authorized OfficialLaura Christine PetersenOwner/therapist · (812) 369-7683
Enumeration DateMarch 2, 2009
Last NPPES UpdateJune 8, 2015
✔ NPI 1063652238 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 IN · 34004770A
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.
901 S ROGERS ST, Bloomington, IN 47403
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Other Identifiers 2

Medicaid200887530AIN
Medicare UPIN608950CGIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Petersen, M.s.w., L.c.s.w., L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Laura Petersen, M.S.W., L.C.S.W., L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Petersen, LCSW
Clinical Social Worker
NPI 1548203045
901 S ROGERS ST SUITE 202
Bloomington, IN 47403
(812) 369-7683
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Laura Petersen, M.S.W., L.C.S.W., L.L.C.'s NPI number?

The NPI number for Laura Petersen, M.S.W., L.C.S.W., L.L.C. is 1063652238. It was assigned to this organization in the NPPES registry on March 2, 2009.

Where is Laura Petersen, M.S.W., L.C.S.W., L.L.C. located?

Laura Petersen, M.S.W., L.C.S.W., L.L.C. is located at 901 S Rogers St Suite 202, Bloomington, IN 47403. The listed phone number is (812) 369-7683.

What is Laura Petersen, M.S.W., L.C.S.W., L.L.C.'s specialty?

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

Is Laura Petersen, M.S.W., L.C.S.W., L.L.C. enrolled in Medicare?

Yes. Laura Petersen, M.S.W., L.C.S.W., L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laura Petersen, M.S.W., L.C.S.W., L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Laura Petersen, M.S.W., L.C.S.W., L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laura Petersen, M.S.W., L.C.S.W., L.L.C. was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.