Active NPI
Greg J Peterson, LMSW
- Social Worker
- Wichita, KS
National Provider Identifier
1376473165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7612
- Practice address
- 889 N Maize Rd Ste 200
Wichita, KS 67212-4559 - Phone
- (316) 218-2491
- NPI assigned
- May 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7612 | KS | Primary |
Addresses
Primary practice location
889 N Maize Rd Ste 200
Wichita, KS 67212-4559
Mailing address
889 N Maize Rd Ste 200
Wichita, KS 67212-4559
Phone (316) 285-9478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7612 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greg Peterson LLC | Social Worker | Current | Accepting new patients |
Locations
889 N Maize Rd
Ste 200
Wichita, KS 67212
Phone (316) 290-9103
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.
-
- Social Worker
- Wichita, KS
- NPI 1043144660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1376473165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 N MAIZE RD STE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124559",
"telephone_number": "316-285-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 N MAIZE RD STE 200",
"city": "WICHITA",
"state": "KS",
"postal_code": "672124559",
"telephone_number": "316-218-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "GREG",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-22",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "KS",
"license": "7612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.