Ellen Petersen, LISW
NPI 1710403001 · Social Worker · Clive, IA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellen Petersen, LISW is a Social Worker provider in Clive, IA (NPI 1710403001).
Provider details
- NPI number
- 1710403001
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 087080 (IA)
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
8 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
- 2017-08-17
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Ellen Petersen's NPI number?
- Ellen Petersen's National Provider Identifier (NPI) is 1710403001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Petersen's specialty?
- Ellen Petersen is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Ellen Petersen located?
- Ellen Petersen's practice location on file with NPPES is 13137 University Ave Ste 140, Clive, IA 50325-8299.
- What is Ellen Petersen's phone number?
- The practice phone number listed in the NPPES registry for Ellen Petersen is (515) 758-9606.
- Does Ellen Petersen accept Medicare?
- Ellen Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellen Petersen's NPI active?
- Yes — Ellen Petersen's NPI (1710403001) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.