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Active NPI 1154075836 Individual Practitioner Female Practitioner

Kailey Peterson , MSW, CAPSW, SAC-IT

Social Worker • Madison, WI

Professional Overview & Biography Verified Profile Summary

Kailey Peterson, MSW, CAPSW, SAC-IT is a registered healthcare professional specializing in Social Worker in Madison, WI. Practice services are available at 1409 EMIL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1409 Emil St

Madison, WI 537132311

Telephone 6084213406
Fax 6082836374
Associated Practice Facility / Clinic
🏢 Arc Community Services, Inc. Facility NPI 1962603522

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 18.2 Yrs
Regional Practice Density
338 Specialists

Practicing in Madison, WI (1954 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-22
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WI 132464-121

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WI 19452-130

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Rachel Kleibor , LCSW, SAC

Counselor - Addiction (Substance Use Disorder)

NPI 1023211109

Licensed Clinical Social Worker, SAC

Teresa O'donnell , LPC

Counselor - Mental Health

NPI 1104158575

Licensed Professional Counselor

Itina Johnson , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1255949723

SACIT

Erika Roling , RD, CLC

Dietitian, Registered

NPI 1659905941

Registered Dietitian, Certified Lactation Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2022

Registered at 1409 EMIL ST, MADISON, WI 537132311 (Tel: 6084213406)

📍
Updated Business Mailing Address February 10, 2022

Registered at 1409 EMIL ST, MADISON, WI 537132311 (Tel: 6084213406)

👤
Provider Name / Credentials Updated February 10, 2022

Recorded as KAILEY PETERSON, MSW, CAPSW, SAC-IT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Counselor (License #19452-130 in WI)

🟢
Initial NPI Registration & Enumeration February 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154075836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2022
Last Update: February 10, 2022
Sole Proprietor: No

Mailing Address

1409 Emil St

Madison, WI 537132311

Phone: 6084213406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.