Kailey Peterson, MSW, CAPSW, SAC-IT is a
Social Worker based in Madison, Wisconsin. Kailey Peterson is licensed to practice in Wisconsin (license number 132464-121) and her current practice location is
1409 Emil St, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 421-3406.
NPI number for Kailey Peterson is 1154075836 and her current mailing address is 1409 Emil St, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154075836.
Healthcare Provider's Profile
Full Name | Kailey Peterson |
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Gender | Female |
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Speciality | Social Worker |
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Location | 1409 Emil St, Madison, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154075836
- Provider Enumeration Date: 02/10/2022
- Last Update Date: 02/10/2022
Medical Identifiers
Medical identifiers for Kailey Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154075836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 19452-130 (Wisconsin) | Secondary |
104100000X | Social Worker | 132464-121 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kailey Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kailey Peterson, MSW, CAPSW, SAC-IT 1409 Emil St, Madison, WI 53713-2311 Ph: (608) 421-3406 | Kailey Peterson, MSW, CAPSW, SAC-IT 1409 Emil St, Madison, WI 53713-2311 Ph: (608) 421-3406 |
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