Individual provider · Type 1 NPI

Tracy Peterson, LCSW

Clinical Social Worker · Berkeley, CA

NPI number 1033810288 Active

Practice location

925 The Alameda
Berkeley, CA 94707-2310

Mailing address

1 Willow Ln
Kensington, CA 94707-1233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS15749 (CA)

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 1033810288

Tracy Peterson, LCSW's National Provider Identifier is 1033810288, issued on Mar 14, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berkeley, CA. The record was last updated on Mar 14, 2023.