LORI PETERSON – Clinical Social Worker, NPI 1073383147

LORI PETERSON is a healthcare provider. based in Palm harbor, Florida. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 19172 (FL). The NPI Number for LORI PETERSON is 1073383147

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
LORI PETERSON
NPI
1073383147
Phone
Not provided
Address
2424 OAKBEND DR APT 1117
Enumeration Date
8 January 2024
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327195039
Graduation Year
2009 (17 years ago)
PAC ID
8123470408
Group Practice PAC ID
3971952813
Professional Enrollment ID
I20240123001463
Address ID
FL346842114PA2600XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for LORI PETERSON

  • 2424 OAKBEND DR APT 1117

    PALM HARBOR, FL 346831777

    Phone:

    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: 2024-01-23

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
I20240123001463IClinical Social WorkerFLTBD

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 34683)

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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: 3971952813View full group profile
NameSpecialtyState
Nurse PractitionerFL
Clinical Social WorkerFL
Clinical Social WorkerIL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does LORI PETERSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LORI PETERSON uses 1073383147.
Can I rely on LORI PETERSON being an active provider?
As of the registry snapshot, LORI PETERSON is marked active.
What healthcare role does LORI PETERSON hold?
Scheduling teams often label LORI PETERSON under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is LORI PETERSON based?
LORI PETERSON is tied to Palm Harbor, Florida in the data we show; additional addresses may exist on the full record.
Why does LORI PETERSON have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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