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DESTINY PETERSON
NPI 1518705987
Social Worker - Clinical in Livonia, MI

Active since July 18, 2024PECOS Enrolled
16836 NEWBURGH RD, LIVONIA, MI 48154(734) 464-4220 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Destiny Peterson NPPES

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

DESTINY PETERSON (NPI 1518705987) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6851118250) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518705987
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDESTINY PETERSON
Location Address16836 NEWBURGH RDLivonia, MI 48154-1600
Mailing Address16836 Newburgh RdLivonia, MI 48154-1600
Phone(734) 464-4220
Sole ProprietorYes
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1518705987 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 MI · 6851118250
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.
16836 NEWBURGH RD, Livonia, MI 48154
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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)

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

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 48154 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 18

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

ANNA STOCKER LLMSW
Social Worker
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
DR. JAMES NEIL BOW PH.D.
Psychologist (Clinical)
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
TAMMODA M JOLLY LBSW
Social Worker
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
FAITH DREW
Social Worker (Clinical)
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
UNIVERSITY PHYSICIAN GROUP
Social Worker
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (888) 362-7792
MALAK ALJAWOBAEI LLMSW
Social Worker (Clinical)
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
KIMBERLY SHAYE DAWSON BSW
Student in an Organized Health Care Education/Training Program
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220
JUDY POURCHO MSW LMSW
Social Worker (Clinical)
16836 NEWBURGH RD
LIVONIA, MI 48154
Wayne County (734) 464-4220

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 Destiny Peterson's NPI number?

The NPI number for Destiny Peterson is 1518705987. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Where is Destiny Peterson located?

Destiny Peterson practices at 16836 Newburgh Rd, Livonia, MI 48154. The listed phone number is (734) 464-4220.

What is Destiny Peterson's specialty?

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

Is Destiny Peterson enrolled in Medicare?

Yes. Destiny Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destiny Peterson was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.