DIANE PETERSEN LCSW
NPI 1306187117
Social Worker - Clinical in Grayslake, IL

Q: What is Diane Petersen's NPI number?

The NPI number for Diane Petersen is 1306187117. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Q: What is Diane Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Petersen was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 05, 2013PECOS EnrolledAccepts Medicare Assignment

18640 W IL ROUTE 120, GRAYSLAKE, IL 60030(847) 548-6000(847) 548-6040 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Diane Petersen Lcsw NPPES

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

DIANE PETERSEN LCSW (NPI 1306187117) is an individual clinical provider in Grayslake, Illinois, licensed in Illinois (149.005019) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1971).

NPPES Registry Identity

NPI1306187117

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDIANE PETERSENCredential: LCSW

Location Address18640 W IL ROUTE 120Grayslake, IL 60030-9733

Mailing Address18640 W Il Route 120Grayslake, IL 60030-9733 · (847) 548-6000 · Fax (847) 548-6040

Phone(847) 548-6000

Fax(847) 548-6040

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1971

Enumeration DateMarch 5, 2013

✔ NPI 1306187117 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 IL · 149.005019

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.

18640 W IL ROUTE 120, Grayslake, IL 60030

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.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

Diane 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 ID7719121987

PECOS Enrollment IDI20130910000804

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 60030 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 $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES 13

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

JILL NOVACEK MSW, LCSW, LSOTP

Social Worker (Clinical)