Individual provider Active NPI

Rebecca Rose Peeters, LCSW

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1255024790
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12099-123 Issued in WI
Practice address
2448 S 102ND St Ste 180
West Allis, WI 53227-2150
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12099-123 WI Primary

Addresses

Primary practice location

2448 S 102ND St Ste 180
West Allis, WI 53227-2150

Mailing address

1100 Jorie Blvd Ste 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

Other practice location 1

610 N Broadway
Green Bay, WI 54303-3426
Phone (920) 621-6839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20250703003712 WI Practitioner - Clinical Social Worker 5890209621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMS Clinical Services of Wisconsin SCGroup PAC ID 6709279482, 8 clinicians

Practice addresses (Care Compare)

2448 S 102ND St
Suite 180
West Allis, WI 53227-2466
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12099-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services of Wisconsin SC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

8333 Greenway Blvd
Ste 240
Middleton, WI 53562

2448 S 102nd St
Ste 180
West Allis, WI 53227
Phone (414) 895-4765

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1255024790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232219",
            "telephone_number": "630-974-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 180",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272150",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543033426",
            "country_code": "US",
            "telephone_number": "920-621-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEETERS",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12099-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.