1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Social Worker
  6. NPI Profile

LISA M PETERSON LMSW
NPI 1922983733
Social Worker - Clinical in Grand Rapids, MI

Active since August 11, 2025PECOS EnrolledAccepts Medicare Assignment
625 KENMOOR AVE SE STE 215, GRAND RAPIDS, MI 49546(616) 805-3660 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa M Peterson Lmsw NPPES

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

LISA M PETERSON LMSW (NPI 1922983733) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801117137) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922983733
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA M PETERSONCredential: LMSW
Location Address625 KENMOOR AVE SE STE 215Grand Rapids, MI 49546-2395
Mailing Address1233 Herrick Ave NeGrand Rapids, MI 49505-5536 · (989) 385-1628
Phone(616) 805-3660
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 10, 2025
✔ NPI 1922983733 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 MI · 6801117137
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.
625 KENMOOR AVE SE STE 215, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Lisa M Peterson Lmsw 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 ID9032610738
PECOS Enrollment IDI20250902004168
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 49546 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

MEGAN PRICE
Psychologist
625 KENMOOR AVE SE STE 215
GRAND RAPIDS, MI 49546
Kent County (616) 805-3660
REUBEN WILSON LMSW
Social Worker (Clinical)
625 KENMOOR AVE SE STE 215
GRAND RAPIDS, MI 49546
Kent County (616) 805-3660
ASHLEY FRANCES SUMMERS MLP
Psychologist
625 KENMOOR AVE SE STE 215
GRAND RAPIDS, MI 49546
Kent County (616) 805-3660

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 Lisa Peterson's NPI number?

The NPI number for Lisa Peterson is 1922983733. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Lisa Peterson located?

Lisa Peterson practices at 625 Kenmoor Ave SE Ste 215, Grand Rapids, MI 49546. The listed phone number is (616) 805-3660.

What is Lisa Peterson's specialty?

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

Is Lisa Peterson enrolled in Medicare?

Yes. Lisa 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 Lisa Peterson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Lisa 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 Lisa Peterson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.