ANDREA DAWN PETERSON LCSW
NPI 1316559529
Social Worker - Clinical in Springfield, IL

Q: What is Andrea Peterson's NPI number?

The NPI number for Andrea Peterson is 1316559529. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Q: What is Andrea Peterson'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 Andrea Peterson was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 19, 2020PECOS EnrolledAccepts Medicare Assignment

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2020, Aug 19, 2020 (2 updates tracked since 2020).

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About Andrea Dawn Peterson Lcsw NPPES

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

ANDREA DAWN PETERSON LCSW (NPI 1316559529) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149022399) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316559529

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDREA DAWN PETERSONCredential: LCSW

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing Address201 E Madison StSpringfield, IL 62702-5131 · (217) 545-3787

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 19, 2020

Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration

NPPES CertifiedOctober 14, 2020

✔ NPI 1316559529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IL · 149022399✔ Licensed in IL · 149.022399

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.

520 N 4TH ST, Springfield, IL 62702

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Accepted Insurance

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

Andrea Dawn 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 ID6709297013

PECOS Enrollment IDI20201117002685

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 62702 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 20

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

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)