Individual provider · Type 1 NPI

Courtney Peterson, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1104790575 Active

Practice location

3111 Springbank Ln Ste I
Charlotte, NC 28226-3373

Call (855) 675-4144 Map

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	P017479 (NC)

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 1104790575

Courtney Peterson, LCSW's National Provider Identifier is 1104790575, issued on Sep 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Oct 24, 2025.