Emily Ann Petersdorff

Primary specialty

Social WorkerTaxonomy code 104100000X

License

135459 Issued in WI

Practice address

285 Forest Grove Dr Ste 207a
Pewaukee, WI 53072-3738

Phone

(608) 352-0337

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Ann McCulloh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• No Worries Wellness LLC

  • Professional Counselor
  • Wauwatosa, WI
  • NPI 1790353068
  NPD
• Empowerment Within LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1477155596
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1982437695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207A",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "608-352-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207A",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "608-352-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSDORFF",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "135459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MCCULLOH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Irene Payton, MSOT, OTR/L
• Bradley Cristopher Pearce, D.C.
• Mandy M Pearce, DC
• Pediatric Neuropsychology and Treatment Associates, SC
• Penny a Wesson MD LLC
• Deborah Peterson, RPH
• Shannon Peterson
• Petra'S Living Assistance, LLC
• Pewaukee Family Chiropractic SC
• Jeremy Michael Philipsen, DPM

• Social Worker in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.