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

Mr. Clayton Richard Peterson, LCSW

Individual provider Clinical Social Worker · NPI 1912662008

Mr. Clayton Richard Peterson, LCSW is a Clinical Social Worker in Elkhorn, Wisconsin. Qualified in 2018, 8 years ago. Practices with County of Walworth, an 11-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2021
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

1910 County Road Nn
Elkhorn, WI 53121-4454
Phone: (262) 741-3200
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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 9722-123 (WI)

Record details

NPI number1912662008
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice County Of Walworth — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhorn