Individual provider · Type 1 NPI

Henry Soron Petersen, L.C.S.W.

Clinical Social Worker · San Diego, CA

NPI number 1053665182 Active

Practice location

4550 Kearny Villa Rd Ste 116
San Diego, CA 92123-1583

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS 24934 (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 1053665182

Henry Soron Petersen, L.C.S.W.'s National Provider Identifier is 1053665182, issued on Oct 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 26, 2012.