Lacey K Petersen, LCSW - Clinical Social Worker in Cheyenne, WY

Lacey K Petersen, LCSW is a Social Worker - Clinical based in Cheyenne, Wyoming. Lacey K Petersen is licensed to practice in Wyoming (license number LCSW-1046) and her current practice location is 510 W 29th St, Cheyenne, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 632-9362.

NPI number for Lacey K Petersen is 1144595323 and her current mailing address is 510 W 29th St, Cheyenne, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144595323.

Contact Information

Lacey K Petersen, LCSW
510 W 29th St,
Cheyenne, WY 82001-2760
(307) 632-9362
(307) 637-6852

Map and Direction




Healthcare Provider's Profile

Full NameLacey K Petersen
GenderFemale
SpecialitySocial Worker - Clinical
Location510 W 29th St, Cheyenne, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144595323
  • Provider Enumeration Date: 03/20/2012
  • Last Update Date: 09/01/2017

Medical Identifiers

Medical identifiers for Lacey K Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144595323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW-1942 (Colorado)Secondary
1041C0700XSocial Worker - Clinical LCSW-1046 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacey K Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lacey K Petersen, LCSW
510 W 29th St,
Cheyenne, WY 82001-2760

Ph: (307) 632-9362
Lacey K Petersen, LCSW
510 W 29th St,
Cheyenne, WY 82001-2760

Ph: (307) 632-9362

Reviews and Comments


Social Worker in Cheyenne, WY

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Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 604 E 25th St, Cheyenne, WY 82001
Phone: 307-637-3953    Fax: 307-638-6805

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.