ANDREA PETERSEN MSW
NPI 1093163743
Social Worker in Beaver Dam, WI

Active since June 02, 2016PECOS Enrolled
103 CAROLINE CT, BEAVER DAM, WI 53916(608) 577-3879 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea Petersen Msw NPPES

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

ANDREA PETERSEN MSW (NPI 1093163743) is an individual social worker in Beaver Dam, Wisconsin and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093163743
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANDREA PETERSENCredential: MSW
Location Address103 CAROLINE CTBeaver Dam, WI 53916-1833
Mailing Address103 Caroline CtBeaver Dam, WI 53916-1833 · (608) 577-3879
Sole ProprietorYes
Enumeration DateJune 2, 2016
NPI 1093163743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
103 CAROLINE CT, Beaver Dam, WI 53916

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea Petersen Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Andrea Petersen's NPI number?

The NPI number for Andrea Petersen is 1093163743. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Andrea Petersen located?

Andrea Petersen practices at 103 Caroline Ct, Beaver Dam, WI 53916. The listed phone number is (608) 577-3879.

What is Andrea Petersen's specialty?

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

Is Andrea Petersen enrolled in Medicare?

Yes. Andrea Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Petersen accept?

Health plans from Medica and UnitedHealthcare list Andrea Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Petersen was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.