Individual provider · Type 1 NPI

John Peterson, LISW, CDCA

Clinical Social Worker · Canton, OH

NPI number 1023464682 Active

Practice location

733 Market Ave S
Canton, OH 44702-2165

Mailing address

1341 Market Ave N
Canton, OH 44714-2605

Other practice locations

  • 1341 Market Ave N, Canton, OH 44714-2605 · (330) 453-8252

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0012311 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X011229 (OH)
Clinical Social Worker Primary 1041C0700XI1801316 (OH)

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 1023464682

John Peterson, LISW, CDCA's National Provider Identifier is 1023464682, issued on May 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, OH. The record was last updated on Nov 30, 2018.