Samantha Petersen, APSW
NPI 1043101991 · Social Worker · Menasha, WI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Petersen, APSW is a Social Worker provider in Menasha, WI (NPI 1043101991).
Provider details
- NPI number
- 1043101991
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- APSW
- Sex
- Female
- Sole proprietor
- No
- License
- 135619-121 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Samantha Petersen's NPI number?
- Samantha Petersen's National Provider Identifier (NPI) is 1043101991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Petersen's specialty?
- Samantha Petersen is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Samantha Petersen located?
- Samantha Petersen's practice location on file with NPPES is 1095 Midway Rd, Menasha, WI 54952-1115.
- What is Samantha Petersen's phone number?
- The practice phone number listed in the NPPES registry for Samantha Petersen is (920) 720-2300.
- Does Samantha Petersen accept Medicare?
- Samantha Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Petersen's NPI active?
- Yes — Samantha Petersen's NPI (1043101991) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.