MR. KYLE PETERSON LCSW
NPI 1700466117
Social Worker - Clinical in Madison, WI

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
440 SCIENCE DR STE 300, MADISON, WI 53711(262) 999-3495 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2023, Apr 9, 2021 (2 updates tracked since 2021).

About Mr. Kyle Peterson Lcsw NPPES

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

MR. KYLE PETERSON LCSW (NPI 1700466117) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9983-123) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700466117
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KYLE PETERSONCredential: LCSW
Location Address440 SCIENCE DR STE 300Madison, WI 53711-1064
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2021
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1700466117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 9983-123
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19344-130 (WI)
Also ListedSocial WorkerTaxonomy 104100000X · License 131900-121 (WI)
440 SCIENCE DR STE 300, Madison, WI 53711

Secondary Practice Location 1

Location 11202 Northport DrMadison, WI 53704-2020 · Phone (608) 921-8289

Accepted Insurance

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. Kyle Peterson Lcsw 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 ID1557842481
PECOS Enrollment IDI20260227001813
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 53711 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 17

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

Counselor (Mental Health)
440 SCIENCE DR STE 300
MADISON, WI 53711
Counselor (Professional)
440 SCIENCE DR STE 300
MADISON, WI 53711
Counselor (Professional)
440 SCIENCE DR STE 300
MADISON, WI 53711
Psychiatry & Neurology (Psychiatry)
440 SCIENCE DR STE 300
MADISON, WI 53711
Counselor (Professional)
440 SCIENCE DR STE 300
MADISON, WI 53711
Social Worker (Clinical)
440 SCIENCE DR STE 300
MADISON, WI 53711
Marriage & Family Therapist
440 SCIENCE DR STE 300
MADISON, WI 53711
Marriage & Family Therapist
440 SCIENCE DR STE 300
MADISON, WI 53711

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 Kyle Peterson's NPI number?

The NPI number for Kyle Peterson is 1700466117. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Kyle Peterson located?

Kyle Peterson practices at 440 Science Dr Ste 300, Madison, WI 53711. The listed phone number is (262) 999-3495.

What is Kyle Peterson's specialty?

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

Is Kyle Peterson enrolled in Medicare?

Yes. Kyle Peterson 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.

What insurance does Kyle Peterson accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Kyle Peterson 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 Kyle Peterson was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.