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MRS. PENNY JO NICHOLS-PETERSON LISW
NPI 1356647143
Social Worker - Clinical in Windsor Heights, IA

Active since January 27, 2011Opted out of Medicare · through Jan 3, 2027
6955 UNIVERSITY AVE, WINDSOR HEIGHTS, IA 50324(515) 802-7348(515) 255-3944 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Penny Jo Nichols-peterson Lisw NPPES

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

MRS. PENNY JO NICHOLS-PETERSON LISW (NPI 1356647143) is an individual clinical provider in Windsor Heights, Iowa, licensed in Iowa (007260) and active in the NPI registry since January 2011. She has opted out of Medicare through January 3, 2027.

NPPES Registry Identity

NPI1356647143
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. PENNY JO NICHOLS-PETERSONCredential: LISW
Location Address6955 UNIVERSITY AVEWindsor Heights, IA 50324-1540
Mailing Address4517 49th PlDes Moines, IA 50310-2969 · (515) 802-7348 · Fax (515) 255-3944
Phone(515) 802-7348
Fax(515) 255-3944
Sole ProprietorYes
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 12, 2015
✔ NPI 1356647143 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 IA · 007260
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.
6955 UNIVERSITY AVE, Windsor Heights, IA 50324
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Other Names 1

Former Name (1)Penny J Peterson Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Penny Jo Nichols-peterson Lisw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2025 through January 3, 2027.

Opt-Out Effective DateJanuary 3, 2025
Opt-Out In Effect ThroughJanuary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

INTUITIVE HEART COUNSELING SERVICES, LLC
Social Worker (Clinical)
6955 UNIVERSITY AVE
WINDSOR HEIGHTS, IA 50324
Polk County (515) 802-7348
GENEVIEVE V SALVATO LMHC
Counselor (Mental Health)
6955 UNIVERSITY AVE
WINDSOR HEIGHTS, IA 50324
Polk County (515) 402-8486

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 Penny Nichols-peterson's NPI number?

The NPI number for Penny Nichols-peterson is 1356647143. It was assigned to this individual provider in the NPPES registry on January 27, 2011. The provider is also known as Penny J Peterson Lmsw.

Where is Penny Nichols-peterson located?

Penny Nichols-peterson practices at 6955 University Ave, Windsor Heights, IA 50324. The listed phone number is (515) 802-7348.

What is Penny Nichols-peterson's specialty?

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

Is Penny Nichols-peterson enrolled in Medicare?

No. Penny Nichols-peterson has opted out of Medicare through January 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Penny Nichols-peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Penny Nichols-peterson 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 Penny Nichols-peterson was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.