STEPHANIE L PETERS (LCSW) – Clinical Social Worker, NPI 1639336191

STEPHANIE L PETERS (LCSW) is a healthcare provider. based in Macon, Georgia. specializing in Clinical Social Worker. They hold the professional credentials LCSW. The NPI Number for STEPHANIE L PETERS (LCSW) is 1639336191

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE L PETERS (LCSW)
NPI
1639336191
Phone
(478) 787-4266
Address
400 POPLAR ST
Enumeration Date
21 May 2008
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8729325030
Group Practice PAC ID
6103907316
Professional Enrollment ID
I20190124001967
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:18State licenses:0Digital endpointsOther names

Provider Addresses for STEPHANIE L PETERS (LCSW)

  • 400 POPLAR ST

    MACON, GA 312013336

    Phone: (478) 787-4266

    Type: Location

  • Cornell Scott-Hill Health Center, 428, Columbus Avenue, Hill, New Haven, New Haven County, Connecticut, 06513, United States

    NEW HAVEN, CT 065191233

    Phone: (203) 503-3055

    Fax: (203) 503-3066

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2019-01-24

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
I20190124001967IClinical Social WorkerGATBD

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 31201)

Loading plans...

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: 6103907316View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows STEPHANIE L PETERS (LCSW) across health systems?
The NPI 1639336191 uniquely identifies STEPHANIE L PETERS (LCSW) in U.S. healthcare data.
Should I treat STEPHANIE L PETERS (LCSW) as an active provider?
Patients and plans typically see STEPHANIE L PETERS (LCSW) as active in the national extract.
Which specialty label fits STEPHANIE L PETERS (LCSW)?
NPPES ties STEPHANIE L PETERS (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is STEPHANIE L PETERS (LCSW) tied to Macon, Georgia?
If you are local to Macon, Georgia, STEPHANIE L PETERS (LCSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

LINDA RAE TOWRY (LCSW)

Clinical Social Worker
2048, Vineville Avenue, Vineville, Macon, Bibb County, Georgia, 31204, United States
NPI: 1225020209

MR. DAVID CRAWFORD STRAIN (LCSW)

Clinical Social Worker
66 CLUB RD STE 160
NPI: 1306832647

MS. JUDITH LOUDON DERRISO (LCSW)

Clinical Social Worker
308, Coliseum Drive, Macon, Bibb County, Georgia, 31217, United States
NPI: 1437148426

MS. AMANDA ELLIS SMITH (MSW)

Clinical Social Worker
311, Pierce Avenue, Vineville, Macon, Bibb County, Georgia, 31204, United States
NPI: 1669451423

SHANNON TERRELL GORDON (LCSW)

Clinical Social Worker
6 CRABAPPLE CIR
NPI: 1306948393

MR. CARL DENNIS STARK (LCSW)

Clinical Social Worker
Middle Georgia Regional Commission, 175, Emery Highway, Macon, Bibb County, Georgia, 31217, United States
NPI: 1194827303

DR. YUDIT JUNG (PH.D., LCSW)

Clinical Social Worker
168, Marshall Avenue, Payne, Ingleside, Macon, Bibb County, Georgia, 31204, United States
NPI: 1205936804

WALTER DANIEL HART (LMSW)

Clinical Social Worker
1333, Saddle Horn Drive, Trails End, Macon, Bibb County, Georgia, 31220, United States
NPI: 1902999451

ROSEMARY BROOWN HEATH (LCSW)

Clinical Social Worker
Middle Georgia Regional Commission, 175, Emery Highway, Macon, Bibb County, Georgia, 31217, United States
NPI: 1346337607