MRS. JAIME CHRISTINE PETERSON (LCSW) – Clinical Social Worker, NPI 1619084555

MRS. JAIME CHRISTINE PETERSON (LCSW) is a healthcare provider. based in Fort collins, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW.09923503 (CO). The NPI Number for MRS. JAIME CHRISTINE PETERSON (LCSW) is 1619084555

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAIME CHRISTINE PETERSON (LCSW)
NPI
1619084555
Phone
(970) 305-5822
Address
333 W. DRAKE RD, SUITE 270
Enumeration Date
24 August 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195402100
Graduation Year
2011 (15 years ago)
PAC ID
2466670153
Group Practice PAC ID
5991064420
Professional Enrollment ID
I20140821000695
Address ID
CO809064195CO2860XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

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Provider Addresses for MRS. JAIME CHRISTINE PETERSON (LCSW)

  • Assurance Contractors, 333, West Drake Road, Meadow Lark Heights, Fort Collins, Larimer County, Colorado, 80526, United States

    FORT COLLINS, CO 80526

    Phone: (970) 305-5822

    Fax: (970) 286-2906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140821000695IClinical Social WorkerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80526)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991064420View full group profile
NameSpecialtyState
Mental Health CounselorWY
Physician AssistantTN
Physician AssistantTX
Clinical PsychologistIL
Clinical PsychologistVA
Clinical Social WorkerCO
Physician AssistantCO
Psychiatry, Pediatric MedicineCO
Marriage And Family TherapistCO
Mental Health CounselorTN

Reviews

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Frequently asked questions

What is MRS. JAIME CHRISTINE PETERSON (LCSW)'s NPI number?
MRS. JAIME CHRISTINE PETERSON (LCSW)'s NPI is 1619084555 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. JAIME CHRISTINE PETERSON (LCSW)?
For scheduling context, MRS. JAIME CHRISTINE PETERSON (LCSW) is shown as active in the registry.
What area of care is associated with MRS. JAIME CHRISTINE PETERSON (LCSW)?
MRS. JAIME CHRISTINE PETERSON (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Colorado is MRS. JAIME CHRISTINE PETERSON (LCSW) registered?
Use Fort Collins, Colorado as the headline location for MRS. JAIME CHRISTINE PETERSON (LCSW) here.
Can I trust this NPI listing for MRS. JAIME CHRISTINE PETERSON (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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