SARAH JANE PETERSEN LCSW
NPI 1073228607
Social Worker in Beloit, WI

Q: What is Sarah Petersen's NPI number?

The NPI number for Sarah Petersen is 1073228607. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Q: What is Sarah Petersen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Petersen was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 18, 2023PECOS EnrolledAccepts Medicare Assignment

540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2024, Jan 18, 2023 (2 updates tracked since 2023).

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About Sarah Jane Petersen Lcsw NPPES

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

SARAH JANE PETERSEN LCSW (NPI 1073228607) is an individual social worker in Beloit, Wisconsin and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073228607

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSARAH JANE PETERSENCredential: LCSW

Location Address540 E GRAND AVEBeloit, WI 53511-6314

Mailing Address540 E Grand AveBeloit, WI 53511-6314 · (608) 368-8087

Phone(608) 368-8087

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 18, 2023

Last NPPES UpdateMay 1, 20242 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1073228607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

540 E GRAND AVE, Beloit, WI 53511

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, MercyCare Health Plans and more.Insurance ›

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

Sarah Jane Petersen 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 ID7719337542

PECOS Enrollment IDI20231220001260

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOUGLAS EDWARD KELLEY OD

Optometrist