IndividualActive
Lucas Petersen
NPI 1710869557 · Clinical Social Worker · Boise, ID
Lucas Petersen is a Clinical Social Worker provider in Boise, ID (NPI 1710869557).
Provider details
- NPI number
- 1710869557
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8911017 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
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
6177 N Oliver Ave
Boise, ID 83714-2070
Phone: (208) 954-2310
Street-level locationGet directions
Mailing address
6177 N Oliver Ave
Boise, ID 83714-2070
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Lucas Petersen's NPI number?
- Lucas Petersen's National Provider Identifier (NPI) is 1710869557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lucas Petersen's specialty?
- Lucas Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lucas Petersen located?
- Lucas Petersen's practice location on file with NPPES is 6177 N Oliver Ave, Boise, ID 83714-2070.
- What is Lucas Petersen's phone number?
- The practice phone number listed in the NPPES registry for Lucas Petersen is (208) 954-2310.
- Is Lucas Petersen's NPI active?
- Yes — Lucas Petersen's NPI (1710869557) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.