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

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: July 19, 2026.

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

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, maintains a secondary practice location in Chicago, 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
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

Secondary Practice Location 1

Location 1332 S Michigan Ave Ste 1100Chicago, IL 60604-4416 · Phone (888) 660-4425

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 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.

Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Physician Assistant (Medical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Physician Assistant
520 N 4TH ST
SPRINGFIELD, IL 62702
Physician Assistant
520 N 4TH ST
SPRINGFIELD, IL 62702
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316559529, enumerated as an "individual" on August 19, 2020.

The provider is located at 520 N 4TH ST SPRINGFIELD, IL 62702 and the phone number is (217) 545-8000.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.