MRS. ANTOINETTE PETERSON (MSW) – Clinical Social Worker, NPI 1295975522

MRS. ANTOINETTE PETERSON (MSW) is a healthcare provider. based in Highland, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 6801061284 (MI). The NPI Number for MRS. ANTOINETTE PETERSON (MSW) is 1295975522

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANTOINETTE PETERSON (MSW)
NPI
1295975522
Phone
(248) 563-0587
Address
280 N MILFORD RD
Enumeration Date
26 February 2009
Last Update Date
10 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485630587
Graduation Year
1987 (39 years ago)
PAC ID
4183762941
Group Practice PAC ID
3072651835
Professional Enrollment ID
I20091116000316
Address ID
MI483574500HI147XXRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MRS. ANTOINETTE PETERSON (MSW)

  • 280, North Milford Road, Highland Charter Township, Oakland County, Michigan, 48357, United States

    HIGHLAND, MI 483574536

    Phone: (248) 563-0587

    Type: Location

  • 3253 BRIAR HILL RD

    HARTLAND, MI 483532402

    Phone: (248) 563-0567

    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: 2009-11-16

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
I20091116000316IClinical Social WorkerMITBD

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 48357)

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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: 3072651835View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do I look up MRS. ANTOINETTE PETERSON (MSW) by NPI?
Use NPI 1295975522 when you need to reference MRS. ANTOINETTE PETERSON (MSW) in forms, claims, or directories.
Is MRS. ANTOINETTE PETERSON (MSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. ANTOINETTE PETERSON (MSW)?
The page reflects Clinical Social Worker for MRS. ANTOINETTE PETERSON (MSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. ANTOINETTE PETERSON (MSW)?
The page summarizes Highland, Michigan for MRS. ANTOINETTE PETERSON (MSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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