Individual provider · Type 1 NPI

Mary Petersen, MSW, ACSW

Clinical Social Worker · New Haven, MI

NPI number 1003986068 Active

Practice location

58144 Gratiot Ave
New Haven, MI 48048

Call (810) 794-4982 Map

Fax (810) 794-4407

Mailing address

555 Saint Clair River Dr
Algonac, MI 48001-1802

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801080062 (MI)

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 1003986068

Mary Petersen, MSW, ACSW's National Provider Identifier is 1003986068, issued on Nov 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, MI. The record was last updated on Jul 8, 2007.