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STEPHANIE PETERSEN
NPI 1639705676
Social Worker - Clinical in Jefferson City, MO

Active since March 22, 2020PECOS Enrolled
5723 BRIDLESPUR LN, JEFFERSON CITY, MO 65109(248) 761-5359 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Mar 22, 2020 (2 updates tracked since 2020).

About Stephanie Petersen NPPES

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

STEPHANIE PETERSEN (NPI 1639705676) is an individual clinical provider in Jefferson City, Missouri and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639705676
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE PETERSEN
Location Address5723 BRIDLESPUR LNJefferson City, MO 65109-5372
Mailing Address5723 Bridlespur LnJefferson City, MO 65109-5372 · (248) 761-5359
Phone(248) 761-5359
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 22, 2020
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1639705676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5723 BRIDLESPUR LN, Jefferson City, MO 65109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7618317652
PECOS Enrollment IDI20250630002557
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 65109 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 $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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 Stephanie Petersen's NPI number?

The NPI number for Stephanie Petersen is 1639705676. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Stephanie Petersen located?

Stephanie Petersen practices at 5723 Bridlespur Ln, Jefferson City, MO 65109. The listed phone number is (248) 761-5359.

What is Stephanie Petersen's specialty?

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

Is Stephanie Petersen enrolled in Medicare?

Yes. Stephanie Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica, Oscar Insurance Company and UnitedHealthcare list Stephanie 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 Stephanie Petersen was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.