JODELL RAE PETIT APSW, CSAC, ICS
NPI 1386881522
Social Worker - Clinical in Hayward, WI

Active since January 09, 2009PECOS Enrolled
10592 MAIN ST, HAYWARD, WI 54843(715) 934-1381(715) 934-2091 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jodell Rae Petit Apsw, Csac, Ics NPPES

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

JODELL RAE PETIT APSW, CSAC, ICS (NPI 1386881522) is an individual clinical provider in Hayward, Wisconsin, licensed in Wisconsin (8459-123) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1386881522
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJODELL RAE PETITCredential: APSW, CSAC, ICS
Location Address10592 MAIN STHayward, WI 54843-6658
Mailing Address13380 W Trepania RdHayward, WI 54843-2186 · (715) 638-5102 · Fax (715) 634-6107
Fax(715) 934-2091
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 9, 2009
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1386881522 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 WI · 8459-123
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.
10592 MAIN ST, Hayward, WI 54843

Other Identifiers 1

Medicaid1386881522WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodell Rae Petit Apsw, Csac, Ics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688132855
PECOS Enrollment IDI20260818002883
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 Reassignment

Medicare enrollment records show Jodell Petit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
10592 MAIN ST
Hayward, WI 54843
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group

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 54843 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

Counselor (Professional)
10592 MAIN ST
HAYWARD, WI 54843
Marriage & Family Therapist
10592 MAIN ST
HAYWARD, WI 54843
Social Worker
10592 MAIN ST
HAYWARD, WI 54843

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 Jodell Petit's NPI number?

The NPI number for Jodell Petit is 1386881522. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Jodell Petit located?

Jodell Petit practices at 10592 Main St, Hayward, WI 54843. The listed phone number is (715) 934-1381.

What is Jodell Petit's specialty?

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

Is Jodell Petit enrolled in Medicare?

Yes. Jodell Petit is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jodell Petit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodell Petit reassigns Medicare benefits to Superior Counseling, LLC (Hayward, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodell Petit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jodell Petit accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan and UnitedHealthcare list Jodell Petit 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 Jodell Petit was last updated on July 21, 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.