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

Carol B. Peterson, LCSW

Individual provider Clinical Social Worker · NPI 1639381155

Carol B. Peterson, LCSW is a Clinical Social Worker in Kansas City, Missouri. Qualified in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
42
Licensed in
MO
In the registry since
2007
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

8080 Ward Pkwy Ste 211
Kansas City, MO 64114-2020
Phone: (816) 361-3088
Fax: (816) 353-7703
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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 825 (MO)

Record details

NPI number1639381155
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESFebruary 22, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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