Lily Elizabeth Peterson-Williby, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074543 Issued in IA

Practice address

2603 Northridge Pkwy Ste 102
Ames, IA 50010-4046

Phone

(515) 827-7629

NPI assigned

Jul 7, 2011

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lily Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Nurse in the House, Inc.

  dba Nurse in the House, Inc., Central Iowa

  • Home Health Agency
  • Des Moines, IA
  • NPI 1598196040
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1235426529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 NORTHRIDGE PKWY STE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104046",
            "telephone_number": "515-827-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 NORTHRIDGE PKWY STE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104046",
            "telephone_number": "515-827-7629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Lincoln Way Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500147595",
            "country_code": "US",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON-WILLIBY",
        "first_name": "LILY",
        "middle_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "074543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058230",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Casey Elizabeth Pepper
• Benjamin Perea, MD
• Periodontal Services of Ames, PLC
• Kristy Huynh Perrin, MD
• Trevor Peters, D.C.
• Lisa Peterson
• Tristin Peterson
• John H. Petrisko, MD
• Daniele Petty, MS, ATC, CES
• Mary Jo Pfeifer, LMHC

• Clinical Social Worker in Ames, IA
• Providers in Ames, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.