DANIEL PETERSON MSW - NPI 1508594029 - Social Worker in Wabash, IN

Q: What is Daniel Peterson's NPI number?

The NPI number for Daniel Peterson is 1508594029. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Q: What is Daniel Peterson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Peterson was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Daniel Peterson Msw NPPES

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

DANIEL PETERSON MSW (NPI 1508594029) is an individual social worker in Wabash, Indiana and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508594029

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDANIEL PETERSONCredential: MSW

Location Address3565 S STATE ROAD 13Wabash, IN 46992-9162

Mailing Address3565 S State Road 13Wabash, IN 46992-9162 · (260) 563-8453

Phone(260) 563-8453

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1508594029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3565 S STATE ROAD 13, Wabash, IN 46992

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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 (PECOS)

Daniel Peterson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587132535

PECOS Enrollment IDI20260507002036

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.

Other Providers at the Same Location NPPES 12

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

TARA COGDELL

Counselor (Mental Health)