Individual provider · Type 1 NPI

Kyle Peterson, LCSW

Clinical Social Worker · Madison, WI

NPI number 1700466117 Active

Practice location

440 Science Dr Ste 300
Madison, WI 53711-1064

Call (262) 999-3495 Map

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X131900-121 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X19344-130 (WI)
Clinical Social Worker Primary 1041C0700X9983-123 (WI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1700466117

Kyle Peterson, LCSW's National Provider Identifier is 1700466117, issued on Apr 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Feb 18, 2026.