Lucas Cedric Petersen
Clinical Social Worker · Boise, ID
Lucas Cedric Petersen is a clinical social worker with a practice address in Boise, Idaho, and NPI 1710869557, issued on Jul 23, 2025. Check the license (Idaho 8911017, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Lucas Cedric Petersen
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 8911017 ID
Self-reported in NPPES; status is on the state search - Practice location
- 6177 N Oliver Ave, Boise, ID 83714
- Phone
- (208) 954-2310
- Enumerated
- Jul 23, 2025
- Record last updated
- Jul 23, 2025
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 1,750 in Idaho → Look up another NPI →
Verify Lucas Cedric Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 8911017Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Lucas Cedric Petersen among 1,750 clinical social worker records in Idaho
Lucas Cedric Petersen is one of 1,750 clinical social worker records with a practice address in Idaho. 18% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 96% of them.
- NPI issued2025 · 96% of these records are older, 2% newer
- In a Medicare fileNo · 18% of these records are
- In the CMS Doctors and Clinicians fileNo · 26% of these records are
- Record last updated2025 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
517 clinical social worker records list a practice address in Boise
They are 517 of the 9,467 NPPES records with a practice address in Boise, and 1,750 clinical social worker records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,750 in Idaho → Every provider in Boise → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Linda Bowen, LCSWGarden City, ID 837141760810154
- Della Chipman, LCSWBoise, ID 837141063531317
- Rebecca Johnston, LCSWGarden City, ID 837141871069070
- Tami Jones, LCSWBoise, ID 837141790819696
- Molly Kukachka, LCSWBoise, ID 837141346102621
- Serena Moore, LMSWGarden City, ID 837141851729099
- Tyra PeoneBoise, ID 837141316698624
- Kimberly Trehal, LCSWBoise, ID 837141427490721
Common questions
What is Lucas Cedric Petersen's NPI number?
Lucas Cedric Petersen's National Provider Identifier (NPI) is 1710869557, issued on Jul 23, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Lucas Cedric Petersen located?
The NPPES record lists a practice address at 6177 N Oliver Ave, Boise, ID, 83714. Phone: (208) 954-2310. Providers update this record themselves, so call before visiting.
How can I verify Lucas Cedric Petersen's license?
NPPES lists Idaho license number 8911017, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.