Individual provider · Type 1 NPI

Kathleen C. Petersen, LCSW

Clinical Social Worker · Des Plaines, IL

NPI number 1053747576 Active

Practice location

591 Columbia Ave
Des Plaines, IL 60016-3062

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149014870 (IL)

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 1053747576

Kathleen C. Petersen, LCSW's National Provider Identifier is 1053747576, issued on Sep 16, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Des Plaines, IL. The record was last updated on Sep 16, 2013.