Laura Petersen, M.s.w., L.c.s.w., L.L.C.
NPI 1063652238 · Clinical Social Worker · Bloomington, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laura Petersen, M.s.w., L.c.s.w., L.L.C. is a Clinical Social Worker organization in Bloomington, IN (NPI 1063652238).
Provider details
- NPI number
- 1063652238
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Laura Petersen, Owner/Therapist(812) 369-7683
- License
- 34004770A (IN)
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
17 yrs in NPPES 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
- 2009-03-02
- Last updated
- 2015-06-08
Frequently asked questions
- What is Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s NPI number?
- Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s National Provider Identifier (NPI) is 1063652238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laura Petersen, M.s.w., L.c.s.w., L.L.C.?
- Laura Petersen, M.s.w., L.c.s.w., L.L.C. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Laura Petersen, M.s.w., L.c.s.w., L.L.C. located?
- Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s practice location on file with NPPES is 901 S Rogers St, Bloomington, IN 47403-4756.
- What is Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Laura Petersen, M.s.w., L.c.s.w., L.L.C. is (812) 369-7683.
- Does Laura Petersen, M.s.w., L.c.s.w., L.L.C. accept Medicare?
- Laura Petersen, M.s.w., L.c.s.w., L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Laura Petersen, M.s.w., L.c.s.w., L.L.C.?
- The authorized official listed on Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s NPPES record is Laura Petersen, Owner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s NPI active?
- Yes — Laura Petersen, M.s.w., L.c.s.w., L.L.C.'s NPI (1063652238) is active in the NPPES registry as of the last update on 2015-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.