Individual provider · Type 1 NPI

Jaimie M. Peterson

Clinical Social Worker · Peoria, IL

NPI number 1003469859 Active

Practice location

2265 W Altorfer Dr
Peoria, IL 61615-1807

Call (309) 683-7700 Map

Fax (309) 683-7752

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149020204 (IL)

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 1003469859

Jaimie M. Peterson's National Provider Identifier is 1003469859, issued on Jul 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 22, 2019.