MR. GORDON WAYNE PETERSEN MSW, LICSW
NPI 1487746244
Social Worker - Clinical in Burlington, VT
About Mr. Gordon Wayne Petersen Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GORDON WAYNE PETERSEN MSW, LICSW (NPI 1487746244) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089-0000142) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Gordon Wayne Petersen Msw, Licsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Gordon Petersen's NPI number?
The NPI number for Gordon Petersen is 1487746244. It was assigned to this individual provider in the NPPES registry on September 29, 2006.
Where is Gordon Petersen located?
Gordon Petersen practices at 166 Battery St, Burlington, VT 05401. The listed phone number is (802) 862-3373.
What is Gordon Petersen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Gordon Petersen enrolled in Medicare?
Yes. Gordon Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Gordon Petersen accept?
Health plans from Anthem Blue Cross and Blue Shield list Gordon Petersen 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 Gordon Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Gordon Wayne Petersen, MSW, LICSW · NPI 1487746244
Clinical provider in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1487746244 (Entity type: Individual)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089-0000142 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 166 BATTERY ST, Burlington, VT 05401-5283
- **Phone:** (802) 862-3373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1487746244) · Data from the CMS NPPES public registry.