KRAIG ROBERT PETERSON (LGSW) – Clinical Social Worker, NPI 1093293326
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,310 CLINICAL SOCIAL WORKER in MN
Provider Addresses for KRAIG ROBERT PETERSON (LGSW)
4325 GRAND AVE
DULUTH, MN 558072730
Phone: (218) 722-1497
Fax: (218) 722-6239
Type: Location
2222 E 5th St
Superior, WI 548803709
Phone: (715) 392-1955
Fax: (715) 392-1935
Type: Location
North 34th Street, City of Superior, Douglas County, Wisconsin, 54880, United States
SUPERIOR, WI 548804477
Phone: (715) 395-5380
Fax: (715) 394-2682
Type: Mailing
2222 E 5TH ST
SUPERIOR, WI 548803709
Phone: (715) 392-1955
Fax: (715) 392-1935
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: 2021-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210201002459 | I | Clinical Social Worker | MN | TBD |
| I20210203000851 | I | Clinical Social Worker | WI | TBD |
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.
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 55807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| C H I R O P R A C T I C | MN | |
| Physician Assistant | MN | |
| Clinical Social Worker | WI | |
| C H I R O P R A C T I C | MN | |
| Family Practice | WI | |
| Family Practice | MN | |
| Physician Assistant | MN |
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