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

Lisa M Peterson, LMSW

Individual provider Clinical Social Worker · NPI 1922983733

Lisa M Peterson, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Counseling Center of West Michigan LLC, a 151-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2025
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

625 Kenmoor Ave SE Ste 215
Grand Rapids, MI 49546-2395
Phone: (616) 805-3660
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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 6801117137 (MI)

Record details

NPI number1922983733
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Counseling Center Of West Michigan Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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