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

Andrea Dawn Peterson, LCSW

Individual provider Clinical Social Worker · NPI 1316559529

Andrea Dawn Peterson, LCSW is a Clinical Social Worker in Springfield, Illinois. Qualified in 2016, 10 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2020
Specialties on file
2
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

520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 332 S Michigan Ave Ste 1100, Chicago, IL 60604-4416 — (888) 660-4425

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149022399 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.022399 (IL)

Record details

NPI number1316559529
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 19, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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