ANN MARIE PETERSON (LSW) – Social Worker, NPI 1942639562

ANN MARIE PETERSON (LSW) is a healthcare provider. based in Lisle, Illinois. specializing in Social Worker. They hold the professional credentials LSW. They hold a License No. 150.014386 (IL). The NPI Number for ANN MARIE PETERSON (LSW) is 1942639562

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANN MARIE PETERSON (LSW)
NPI
1942639562
Phone
(630) 416-1252
Address
6408 BRIARCLIFF CT
Enumeration Date
4 November 2013
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
0749579209
Professional Enrollment ID
I20160523001890
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for ANN MARIE PETERSON (LSW)

  • 6408 BRIARCLIFF CT

    LISLE, IL 605324204

    Phone: (630) 416-1252

    Type: Mailing

  • 1460 BOND ST

    NAPERVILLE, IL 605636502

    Phone: (630) 859-0120

    Type: Location

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: 2016-05-23

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
I20160523001890IClinical Social WorkerILTBD

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 60532)

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Reviews

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Frequently asked questions

Does ANN MARIE PETERSON (LSW) have a public NPI I can cite?
Public records show ANN MARIE PETERSON (LSW) under NPI 1942639562.
Is ANN MARIE PETERSON (LSW)'s NPI status active today?
Active status means ANN MARIE PETERSON (LSW)'s NPI record is not deactivated in the public file.
How should patients interpret ANN MARIE PETERSON (LSW)'s specialty?
The extract shows Social Worker for ANN MARIE PETERSON (LSW). Clinical services aligned with this taxonomy classification.
Is ANN MARIE PETERSON (LSW) tied to Lisle, Illinois?
If you are local to Lisle, Illinois, ANN MARIE PETERSON (LSW) may be relevant to your search.
Who maintains ANN MARIE PETERSON (LSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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