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AMANDA PETERSON LCSW
NPI 1528420486
Social Worker - Clinical in Nellis Afb, NV

Active since March 22, 2016PECOS Enrolled
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 8, 2023, Dec 1, 2022, Mar 22, 2016 (3 updates tracked since 2016).

About Amanda Peterson Lcsw NPPES

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

AMANDA PETERSON LCSW (NPI 1528420486) is an individual clinical provider in Nellis Afb, Nevada, licensed in Nevada (10278-C) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada, Las Vegas School Of Medicine (2020).

NPPES Registry Identity

NPI1528420486
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA PETERSONCredential: LCSW
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273
Phone(702) 653-2273
Sole ProprietorNo
Medical School CMSUniversity Of Nevada, Las Vegas School Of MedicineGraduated 2020
Enumeration DateMarch 22, 2016
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1528420486 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 NV · 10278-C
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.
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191
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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)

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

PECOS PAC ID1850884412
PECOS Enrollment IDI20251202002929
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 89191 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 $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

DR. DEBRA A KOENIGSBERGER MD
Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2267
KATRINA BAUMANN DPT
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
SOUKAINA NOOR MD
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
EDWARD KEMPTON MD
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
DR. AARON JOSEPH WOLBRUECK DO
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
MARIA M ARAQUE PHARMD
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3202
DR. SHUBHANG N MAZUMDAR M.D.
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3800
CYNTHIA SCHMIDT PH.D.
Psychologist (Clinical)
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE
NELLIS AFB, NV 89191
Clark County (702) 653-3067

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 Amanda Peterson's NPI number?

The NPI number for Amanda Peterson is 1528420486. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Amanda Peterson located?

Amanda Peterson practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Amanda Peterson's specialty?

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

Is Amanda Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Peterson was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.