IndividualActive
Jaclyn Petersen, MSW
NPI 1780273102 · Clinical Social Worker · Champaign, IL
Jaclyn Petersen, MSW is a Clinical Social Worker provider in Champaign, IL (NPI 1780273102).
Provider details
- NPI number
- 1780273102
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149.022485 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
Street-level locationGet directions
Mailing address
309 W Clark St
Champaign, IL 61820-4637
Registry dates
- Enumerated
- 2021-01-11
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Jaclyn Petersen's NPI number?
- Jaclyn Petersen's National Provider Identifier (NPI) is 1780273102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Petersen's specialty?
- Jaclyn Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jaclyn Petersen located?
- Jaclyn Petersen's practice location on file with NPPES is 309 W Clark St, Champaign, IL 61820-4637.
- What is Jaclyn Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Petersen is (217) 398-9066.
- Is Jaclyn Petersen's NPI active?
- Yes — Jaclyn Petersen's NPI (1780273102) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.