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

Mr. Kyle Peterson, LCSW

Individual provider Social Worker · NPI 1700466117

Mr. Kyle Peterson, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2020, 6 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2021
Specialties on file
3
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

440 Science Dr Ste 300
Madison, WI 53711-1064
Phone: (262) 999-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1202 Northport Dr, Madison, WI 53704-2020 — (608) 921-8289

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9983-123 (WI)
Social Worker Taxonomy 104100000X · Licence 131900-121 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19344-130 (WI)

Record details

NPI number1700466117
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 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)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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