Individual provider · Type 1 NPI

Lavon L. Petersen, LCSW

Clinical Social Worker · Mililani, HI

NPI number 1013650365 Active

Practice location

95-1507 Ainamakua Dr Apt 30
Mililani, HI 96789-4406

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X4815 (HI)

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 1013650365

Lavon L. Petersen, LCSW's National Provider Identifier is 1013650365, issued on Apr 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mililani, HI. The record was last updated on Aug 27, 2024.