ANN MOOK PEDERSEN CSW
NPI 1376194167
Social Worker - Clinical in Lexington, KY

Q: What is Ann Pedersen's NPI number?

The NPI number for Ann Pedersen is 1376194167. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Ann Pedersen'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 Ann Pedersen was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 September 24, 2019PECOS Enrolled

1030 MONARCH ST STE 100, LEXINGTON, KY 40513(216) 468-5000(216) 456-8128 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Sep 24, 2019 (2 updates tracked since 2019).

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About Ann Mook Pedersen Csw NPPES

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

ANN MOOK PEDERSEN CSW (NPI 1376194167) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (256492) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376194167

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANN MOOK PEDERSENCredential: CSW

Location Address1030 MONARCH ST STE 100Lexington, KY 40513-1820

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (216) 468-5000 · Fax (216) 456-8128

Phone(216) 468-5000

Fax(216) 456-8128

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 24, 2019

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1376194167 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 KY · 256492

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.

1030 MONARCH ST STE 100, Lexington, KY 40513

Open in Google Maps ↗

Other Identifiers 1

Medicaid1790731081KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Mook Pedersen Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103322508

PECOS Enrollment IDI20251003002787

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.

Medicare Billing Reassignments

Medicare enrollment records show Ann Pedersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alteri, LLC

2.3 mi

Addiction (Substance Use Disorder)

190 W LOWRY LN STE 200
Lexington, KY 40503

Reassigned Medicare billing, Kentucky enrollment
8 clinicians in this Medicare group

NPI 1528566114 (859) 277-4992

Psychological & Behavioral Consultants, LLC

288 mi

Psychiatry

25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122

Reassigned Medicare billing, Kentucky enrollment
198 clinicians in this Medicare group

NPI 1811915713 (216) 468-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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 $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

LARISSA FLINT LCSW

Social Worker (Clinical)