Amanda Marie Peterka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12702-123 Issued in WI

Practice address

100 N 72ND Ave Ste 202
Wausau, WI 54401-9042

Phone

(715) 457-8122

Fax

(715) 230-4912

NPI assigned

Oct 10, 2023

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 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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

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.

• Central Wisconsin Mental Health Associates, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Schofield, WI
  • NPI 1174279533
  Medicare reassignment NPD
• Grounding Stone Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1033062476
  NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1285415885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 72ND AVE STE 202",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019042",
            "telephone_number": "715-457-8122",
            "fax_number": "715-230-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 72ND AVE STE 202",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019042",
            "telephone_number": "715-457-8122",
            "fax_number": "715-230-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERKA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12702-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peoplefirst Rehab
• Peoplefirstrehab
• Michael Perez Rodriguez, MD
• Morgan Persha
• Peter a Throm
• Jordan Peters, MS
• Christopher G Peterson, MD
• Madalyn Ann Peterson, LCSW
• Shawna Marie Peterson
• Tracy Peterson, LPC

• Clinical Social Worker in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.