MS. REBECCA G PETERSON – Clinical Social Worker, NPI 1730440306

MS. REBECCA G PETERSON is a healthcare provider. based in Lake orion, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801104996 (MI). The NPI Number for MS. REBECCA G PETERSON is 1730440306

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. REBECCA G PETERSON
NPI
1730440306
Phone
(248) 863-7735
Address
628 EVAN CT
Enumeration Date
31 May 2012
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487171232
Graduation Year
2016 (10 years ago)
PAC ID
0648606426
Group Practice PAC ID
4981026580
Professional Enrollment ID
I20200214002176
Address ID
MI483811037MI343XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MS. REBECCA G PETERSON

  • 628 EVAN CT

    LAKE ORION, MI 483624100

    Phone: (248) 863-7735

    Type: Mailing

  • 236 WATERVIEW DR

    LAKE ORION, MI 483621547

    Phone: (248) 863-7735

    Type: Mailing

  • 7250 DIXIE HWY STE 200

    CLARKSTON, MI 483465108

    Phone: (248) 861-2909

    Type: Location

  • 343 River Oaks Dr

    Milford, MI 483811037

    Phone: (248) 863-7735

    Type: Location

  • 837 S LAPEER RD STE 205

    OXFORD, MI 483715084

    Phone: (248) 572-7002

    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: 2020-02-14

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
I20200214002176IClinical 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 48362)

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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: 4981026580View full group profile
NameSpecialtyState
Family Practice, HospitalistMI
Clinical Social WorkerMI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MS. REBECCA G PETERSON?
NPI 1730440306 is assigned to MS. REBECCA G PETERSON under the national enumeration system.
Is MS. REBECCA G PETERSON currently active in the NPI registry?
CMS-published data lists MS. REBECCA G PETERSON as an active registrant.
Can you summarize MS. REBECCA G PETERSON's specialty in plain language?
Clinically, the directory lists MS. REBECCA G PETERSON with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place MS. REBECCA G PETERSON?
The snapshot lists Lake Orion, Michigan for MS. REBECCA G PETERSON; download NPPES for the complete set.
How can I contact MS. REBECCA G PETERSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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