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MR. FREDERICK JAMES PETERS JR.
NPI 1659501617
Social Worker - Clinical in Statesville, NC

Active since July 23, 2009PECOS EnrolledAccepts Medicare Assignment
259 N KELLY ST, STATESVILLE, NC 28677(704) 500-0087(704) 500-2720 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Frederick James Peters Jr. NPPES

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

MR. FREDERICK JAMES PETERS JR. (NPI 1659501617) is an individual clinical provider in Statesville, North Carolina, licensed in North Carolina (C004377) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1659501617
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. FREDERICK JAMES PETERS JR.
Location Address259 N KELLY STStatesville, NC 28677-5209
Mailing Address259 N Kelly StStatesville, NC 28677-5209 · (704) 500-0087 · Fax (704) 500-2720
Phone(704) 500-0087
Fax(704) 500-2720
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 23, 2009
✔ NPI 1659501617 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 NC · C004377
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.
259 N KELLY ST, Statesville, NC 28677
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Other Names 1

Professional Name (2)Frederick James Peters L.c.s.w.

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. Frederick James Peters Jr. 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.

PECOS PAC ID4587719422
PECOS Enrollment IDI20090828000463
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 28677 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

CAROLINAS COUNSELING SOLUTIONS INC.
Counselor (Mental Health)
259 N KELLY ST
STATESVILLE, NC 28677
Iredell County (704) 500-0087
MENTAL HEALTH PROVIDER SERVICES LLC
Psychologist
259 N KELLY ST
STATESVILLE, NC 28677
Iredell County (704) 500-0087
ROSALBA PARDO PSYD
Psychologist
259 N KELLY ST
STATESVILLE, NC 28677
Iredell County (704) 500-0087

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 Frederick Peters's NPI number?

The NPI number for Frederick Peters is 1659501617. It was assigned to this individual provider in the NPPES registry on July 23, 2009. The provider is also known as Frederick James Peters L.C.S.W..

Where is Frederick Peters located?

Frederick Peters practices at 259 N Kelly St, Statesville, NC 28677. The listed phone number is (704) 500-0087.

What is Frederick Peters's specialty?

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

Is Frederick Peters enrolled in Medicare?

Yes. Frederick Peters 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.

When was this NPI record last updated?

The NPPES record for Frederick Peters was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.