Individual provider · Type 1 NPI

Courtney Lee Peterson, LCSW

Clinical Social Worker · Park Ridge, IL

NPI number 1093850554 Active

Practice location

1775 Dempster St, Social Work Dept. - 8 South
Park Ridge, IL 60068-1143

Mailing address

4537 N Artesian Ave
Chicago, IL 60625-3003

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1093850554

Courtney Lee Peterson, LCSW's National Provider Identifier is 1093850554, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Ridge, IL. The record was last updated on Jul 8, 2007.