ALEXANDRA PETERSON LCSW
NPI 1386021301
Social Worker - Clinical in Van Nuys, CA

Q: What is Alexandra Peterson's NPI number?

The NPI number for Alexandra Peterson is 1386021301. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Q: What is Alexandra Peterson's specialty?

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

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment

15339 SATICOY ST, VAN NUYS, CA 91406(818) 267-2631 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2021, Feb 9, 2021, Aug 15, 2016 (3 updates tracked since 2016).

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About Alexandra Peterson Lcsw NPPES

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

ALEXANDRA PETERSON LCSW (NPI 1386021301) is an individual clinical provider in Van Nuys, California, licensed in California (LCSW92906) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386021301

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALEXANDRA PETERSONCredential: LCSW

Location Address15339 SATICOY STVan Nuys, CA 91406-3345

Mailing Address15339 Saticoy StVan Nuys, CA 91406-3345 · (818) 267-2631

Phone(818) 267-2631

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 28, 2015

Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2021

✔ NPI 1386021301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · LCSW92906✔ Licensed in CA · 59998

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 59998 (CA)

15339 SATICOY ST, Van Nuys, CA 91406

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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

Alexandra 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 ID2860836475

PECOS Enrollment IDI20240221003720

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 91406 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

RENEE FRANCES WOLF

Counselor