Laura Petersen, M.s.w., L.c.s.w., L.l.c. - Medicare Mental Health Clinic in Bloomington, IN

Laura Petersen, M.s.w., L.c.s.w., L.l.c. is a medicare enrolled mental health clinic (Social Worker - Clinical) in Bloomington, Indiana. The current practice location for Laura Petersen, M.s.w., L.c.s.w., L.l.c. is 901 S Rogers St, Suite 202, Bloomington, Indiana. For appointments, you can reach them via phone at (812) 369-7683. The mailing address for Laura Petersen, M.s.w., L.c.s.w., L.l.c. is 901 S Rogers St, Suite 202, Bloomington, Indiana and phone number is (812) 369-7683.

Laura Petersen, M.s.w., L.c.s.w., L.l.c. is licensed to practice in Indiana (license number 34004770A). The clinic also participates in the medicare program and its NPI number is 1063652238. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 369-7683.

Contact Information

Laura Petersen, M.s.w., L.c.s.w., L.l.c.
901 S Rogers St
Suite 202
Bloomington
IN 47403-4756
(812) 369-7683
Not Available

Mental Health Clinic Profile

Full NameLaura Petersen, M.s.w., L.c.s.w., L.l.c.
SpecialitySocial Worker
Location901 S Rogers St, Bloomington, Indiana
Authorized Official Name and PositionLaura Christine Petersen (OWNER/THERAPIST)
Authorized Official Contact8123697683
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laura Petersen, M.s.w., L.c.s.w., L.l.c.
901 S Rogers St
Suite 202
Bloomington
IN 47403-4756

Ph: (812) 369-7683
Laura Petersen, M.s.w., L.c.s.w., L.l.c.
901 S Rogers St
Suite 202
Bloomington
IN 47403-4756

Ph: (812) 369-7683

NPI Details:

NPI Number1063652238
Provider Enumeration Date03/02/2009
Last Update Date06/08/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9830401033
Medicare Enrollment IDO20150630002749

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Medical Identifiers

Medical identifiers for Laura Petersen, M.s.w., L.c.s.w., L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063652238NPI-NPPES
200887530AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 34004770A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Laura Petersen, M.s.w., L.c.s.w., L.l.c. acts as a billing entity for following providers:
Provider NameLaura C Petersen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548203045
PECOS PAC ID: 6204806060
Enrollment ID: I20040728001617

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Social Worker in Bloomington, IN

Dr. Katy Kopp Miller, Llc
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Practice Location: 120 W 7th St Ste 108, Bloomington, IN 47404
Phone: 765-425-3412    
Diane Menke Pence, Lmhc
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Medicare: Not Enrolled in Medicare
Practice Location: 205 N College Ave, Ste 613, Bloomington, IN 47404
Phone: 812-333-3440    Fax: 812-333-3444
Huts Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 2801 E Plateau Place, Bloomington, IN 47401
Phone: 804-386-9216    Fax: 804-464-1483
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Medicare: Medicare Enrolled
Practice Location: 3600 N Prow Rd, Bloomington, IN 47404
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Angela R Marshall Psyd Inc
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Practice Location: 2525 W Vernal Pike, Bloomington, IN 47404
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New Outlook Counseling Center Inc
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