Organization provider

LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C.

Clinical Social Worker Medicare enrolled

LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063652238, based in Bloomington, IN. It is classified under Clinical Social Worker.

Getting there

The practice address on file is 901 S ROGERS ST SUITE 202, Bloomington, IN 47403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

901 S ROGERS ST SUITE 202, Bloomington, IN 47403 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
34004770A IN Clinical Social Worker primary

This provider holds licence 34004770A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9830401033
Enrollment ID
O20150630002749

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063652238 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 2, 2009
Last updatedJun 8, 2015
StatusActive
Practice address 901 S ROGERS ST
SUITE 202
Bloomington, IN 47403
(812) 369-7683
Other identifiers 200887530A · Medicaid (IN)
This record was last updated on Jun 8, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063652238 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 5 2 2 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 5 4 2 6

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063652238?
NPI 1063652238 is the National Provider Identifier assigned to LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C. in Bloomington, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C.?
The phone number on file with NPPES is (812) 369-7683, last updated Jun 8, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LAURA PETERSEN, M.S.W., L.C.S.W., L.L.C. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063652238 a valid number?
Yes. 1063652238 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.