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JUDITH MENDELS PETERSON PHD
NPI 1679666531
Social Worker - Clinical in Chicago, IL

Active since October 02, 2006Opted out of Medicare · through Apr 21, 2028
1415 W HENDERSON ST, CHICAGO, IL 60657(773) 871-2828 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith Mendels Peterson Phd NPPES

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

JUDITH MENDELS PETERSON PHD (NPI 1679666531) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since October 2006. She has opted out of Medicare through April 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679666531
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJUDITH MENDELS PETERSONCredential: PHD
Location Address1415 W HENDERSON STChicago, IL 60657
Mailing Address1415 W Henderson StChicago, IL 60657 · (773) 871-2828
Phone(773) 871-2828
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679666531 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.
1415 W HENDERSON ST, Chicago, IL 60657
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Judith Mendels Peterson Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 21, 2008 through April 21, 2028.

Opt-Out Effective DateApril 21, 2008
Opt-Out In Effect ThroughApril 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Judith Mendels Peterson's NPI number?

The NPI number for Judith Mendels Peterson is 1679666531. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Judith Mendels Peterson located?

Judith Mendels Peterson practices at 1415 W Henderson St, Chicago, IL 60657. The listed phone number is (773) 871-2828.

What is Judith Mendels Peterson's specialty?

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

Is Judith Mendels Peterson enrolled in Medicare?

No. Judith Mendels Peterson has opted out of Medicare through April 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Judith Mendels Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.