Christine Irene Peterson, LCMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851110663 Issued in MI

Practice address

180 W Michigan Ave Ste 704
Jackson, MI 49201-1316

Phone

(517) 748-7075

Fax

(517) 234-2500

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christine Irene Peterson, LLC

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1851179089
  Medicare reassignment NPD Authorized official
• Living Grateful Behavioral Health Services, LLC

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1578138087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1225703242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W MICHIGAN AVE STE 704",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011316",
            "telephone_number": "517-262-9178",
            "fax_number": "517-234-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W MICHIGAN AVE STE 704",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011316",
            "telephone_number": "517-748-7075",
            "fax_number": "517-234-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "IRENE",
        "credential": "LCMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Perusse
• Tina M Pestun, AGACNP
• Debra Peters, LPN
• Susan Peters
• Anissa Peterson, PA-C
• Holly Peterson
• Jodi Lynn Peterson, CPSS, PSP
• Pamela Teresa Peterson, NP
• Taylar Peterson
• Maddelyn E Petosky

• Clinical Social Worker in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.