Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Marie Peterka, LCSW

Individual provider Clinical Social Worker · NPI 1285415885

Amanda Marie Peterka, LCSW is a Clinical Social Worker in Wausau, Wisconsin. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 N 72nd Ave Ste 202
Wausau, WI 54401-9042
Phone: (715) 457-8122
Fax: (715) 230-4912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12702-123 (WI)

Record details

NPI number1285415885
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 10, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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