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

Jessica Lynette Petersen, LIMHP, LMHP, CMSW

Individual provider Clinical Social Worker · NPI 1699555243

Jessica Lynette Petersen, LIMHP, LMHP, CMSW is a Clinical Social Worker in Omaha, Nebraska. Qualified in 2007, 19 years ago. Practices with Optum Behavioral Care of Ohio Inc, a 67-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
19
Licensed in
NE
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

11204 Davenport St Ste 200
Omaha, NE 68154-2658
Phone: (402) 356-3332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 2846 (NE)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2246 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3326 (NE)

Record details

NPI number1699555243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIMHP , LMHP , CMSW
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Optum Behavioral Care Of Ohio Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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