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

Diane Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1306187117

Diane Petersen, LCSW is a Clinical Social Worker in Grayslake, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1971, 55 years ago. Practices with B and B Spaulding LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
55
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2013
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

18640 W Il Route 120
Grayslake, IL 60030-9733
Phone: (847) 548-6000
Fax: (847) 548-6040
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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 149.005019 (IL)

Record details

NPI number1306187117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 5, 2013
Mailing address18640 W Il Route 120, Grayslake, IL 60030-9733

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice B And B Spaulding Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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