NPPES file of Aug 9, 2026

Samantha Jo Petersen, APSW

Social Worker · Menasha, WI

Samantha Jo Petersen, APSW is a social worker with a practice address in Menasha, Wisconsin, and NPI 1043101991, issued on Jul 10, 2025. Check the license (Wisconsin 135619-121, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043101991
Name
Samantha Jo Petersen
Credential
APSW
Primary taxonomy
Social Worker 104100000X
License number
135619-121 WI
Self-reported in NPPES; status is on the state search
Practice location
1095 Midway RD, Menasha, WI 54952
Phone
(920) 720-2300
Enumerated
Jul 10, 2025
Record last updated
Jul 10, 2025
Medicare enrollment
Enrolled (PECOS I20250813000364); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest social worker records → All 1,915 in Wisconsin → Look up another NPI →

Also registered at 1095 Midway RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Karen Adair, MSMental Health Counselor1194818344
  2. Nathaniel Albrecht, DOPsychiatry Physician1467853705
  3. Rochelle AlpertCounselor1093882896
  4. Betty Atchison, CSACAddiction (Substance Use Disorder) Counselor1073164307
  5. Merri Autumn-HelgesonAddiction (Substance Use Disorder) Counselor1578625422
  6. Rachel Bass, LPC-ITMental Health Counselor1710799119

Verify Samantha Jo Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 135619-121    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Samantha Jo Petersen among 1,915 social worker records in Wisconsin

Samantha Jo Petersen, APSW is one of 1,915 social worker records with a practice address in Wisconsin. 7% 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 88% of them.

  • NPI issued2025 · 88% of these records are older, 4% newer
  • In a Medicare fileNo · 7% of these records are
  • In the CMS Doctors and Clinicians fileYes · 9% of these records are
  • Graduated2025 · median 2012 among the 176 with a school on file
  • Record last updated2025 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 104100000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

14 social worker records list a practice address in Menasha

They are 14 of the 442 NPPES records with a practice address in Menasha, and 1,915 social worker records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,915 in Wisconsin → Every provider in Menasha → Social Worker nationwide →

The 8 social worker records with the nearest ZIP codes

  1. Emily BeboutMenasha, WI 549521639946908
  2. Linell BerkleyMenasha, WI 549521649420134
  3. Melissa Chavas, MSW CAPSWMenasha, WI 549521316022916
  4. Sherrill Downey, LCSWMenasha, WI 549521174813273
  5. Elena EarlMenasha, WI 549521750458493
  6. Julie Janus, MSS CAPSWMenasha, WI 549521164507760
  7. Chris MatulaMenasha, WI 549521881761567
  8. Beverly Oosterhous, MSEMenasha, WI 549521942399977

Common questions

What is Samantha Jo Petersen, APSW's NPI number?

Samantha Jo Petersen, APSW's National Provider Identifier (NPI) is 1043101991, issued on Jul 10, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Samantha Jo Petersen, APSW located?

The NPPES record lists a practice address at 1095 Midway RD, Menasha, WI, 54952. Phone: (920) 720-2300. Providers update this record themselves, so call before visiting.

How can I verify Samantha Jo Petersen, APSW's license?

NPPES lists Wisconsin license number 135619-121, as entered by the provider. Search the Wisconsin 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.