MS. JOANNA SUE PETERSON (MGW, LCSW) – Clinical Social Worker, NPI 1508035098

MS. JOANNA SUE PETERSON (MGW, LCSW) is a healthcare provider. based in Jeffersonville, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MGW, LCSW. They hold a License No. 34003562A (IN). The NPI Number for MS. JOANNA SUE PETERSON (MGW, LCSW) is 1508035098

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MS. JOANNA SUE PETERSON (MGW, LCSW)
NPI
1508035098
Phone
(812) 280-2080
Address
460 SPRING ST.
Enumeration Date
28 February 2008
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3172889942
Graduation Year
1993 (33 years ago)
PAC ID
6002992708
Group Practice PAC ID
9739241720
Professional Enrollment ID
I20080320000400
Address ID
IN462561400IN8202XPKWY301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

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Provider Addresses for MS. JOANNA SUE PETERSON (MGW, LCSW)

  • 460, Spring Street, Jeffersonville, Clark County, Indiana, 47130, United States

    JEFFERSONVILLE, IN 47130

    Phone: (812) 280-2080

    Fax: (812) 206-1213

    Type: Mailing

  • 8202 CLEARVISTA PKWY STE 7

    INDIANAPOLIS, IN 462561400

    Phone: (317) 288-9942

    Fax: (317) 288-9945

    Type: Mailing

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: 2008-03-20

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
I20080320000400IClinical Social WorkerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour2912$0
90791Psychiatric diagnostic evaluation2323$0
View full utilization report →

Insurance plans in this area (ZIP 47130)

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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: 9739241720View full group profile
NameSpecialtyState
-IN
Clinical Social WorkerIN
Mental Health CounselorIN
Clinical Social WorkerIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

Is there an official ID for MS. JOANNA SUE PETERSON (MGW, LCSW) in U.S. healthcare records?
The official identifier for MS. JOANNA SUE PETERSON (MGW, LCSW) is NPI 1508035098.
Is MS. JOANNA SUE PETERSON (MGW, LCSW) still an active registrant?
MS. JOANNA SUE PETERSON (MGW, LCSW) carries an active NPI according to the public dataset.
What area of care is associated with MS. JOANNA SUE PETERSON (MGW, LCSW)?
MS. JOANNA SUE PETERSON (MGW, LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MS. JOANNA SUE PETERSON (MGW, LCSW) associated with Jeffersonville?
Public fields place MS. JOANNA SUE PETERSON (MGW, LCSW) around Jeffersonville, Indiana. Always confirm the exact site before visiting.
Does MS. JOANNA SUE PETERSON (MGW, LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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