Active NPI
Christopher D Peters, MSW LCSW
- Clinical Social Worker
- Sun Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7053-123
- Practice address
- 10 Tower Dr
Sun Prairie, WI 53590-1239 - Phone
- (608) 825-3500
- Fax
- (608) 825-3793
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7053-123 | WI | Primary |
Addresses
Primary practice location
10 Tower Dr
Sun Prairie, WI 53590-1239
Mailing address
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396720587 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100604000340 | WI | Practitioner - Clinical Social Worker | 9830229624 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7053-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Social Worker | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
10 Tower Dr
Sun Prairie, WI 53590
Phone (608) 825-3008
123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672
129 Hospital Dr
Watertown, WI 53098
Phone (920) 262-4800
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
Organizations & group practices 25
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.
-
- Durable Medical Equipment & Medical Supplies
- Janesville, WI
- NPI 1306113006
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1760593545
-
- Durable Medical Equipment & Medical Supplies
- Madison, WI
- NPI 1821240979
-
- Durable Medical Equipment & Medical Supplies
- Baraboo, WI
- NPI 1447295787
-
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1013028893
-
- Durable Medical Equipment & Medical Supplies
- Columbus, WI
- NPI 1083622278
-
- Durable Medical Equipment & Medical Supplies
- Fort Atkinson, WI
- NPI 1144265133
-
- Ambulatory Surgical Clinic/Center
- Sun Prairie, WI
- NPI 1235201369
-
- Ambulatory Surgical Clinic/Center
- Madison, WI
- NPI 1326119157
-
- Durable Medical Equipment & Medical Supplies
- Dodgeville, WI
- NPI 1386688521
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dean Health Systems Inc
Practice addresses (Care Compare)
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1396720587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3500",
"fax_number": "608-825-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3500",
"fax_number": "608-825-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7053-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396720587",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun Prairie, WI
- Peak Performance Chiropractic and Rehab LLC
- Peak Proformance Chiropractic and Rehabilitation
- Jill Diane Pelton Streekstra, R.N.
- Benjamin Percy, DPT
- Performance Rehab and Chiropractic, Inc.
- Kameron Peterson, PHARMD, BCACP
- Stephanie Mt Peterson, RN
- Tina D Peterson
- Laura B Pethan, APNP
- Robert T. Peyton, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.