Individual provider · Type 1 NPI

Thomas James Peterson, LCSW

Clinical Social Worker · Riverside, CA

NPI number 1063693299 Active

Practice location

3190 Chicago Ave
Riverside, CA 92507-3448

Call (951) 341-6440 Map

Fax (951) 341-6404

Mailing address

PO Box 1405
Riverside, CA 92502-1405

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS13721 (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 1063693299

Thomas James Peterson, LCSW's National Provider Identifier is 1063693299, issued on Nov 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, CA. The record was last updated on Mar 24, 2011.