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

Individual provider Clinical Social Worker · NPI 1225703242

Christine Irene Peterson, LCMSW is a Clinical Social Worker in Jackson, Michigan. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

180 W Michigan Ave Ste 704
Jackson, MI 49201-1316
Phone: (517) 748-7075
Fax: (517) 234-2500
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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 6851110663 (MI)

Record details

NPI number1225703242
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMSW
Sole proprietorYes
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson