Individual provider · Type 1 NPI

Lacey K. Petersen, LCSW

Clinical Social Worker · Cheyenne, WY

NPI number 1144595323 Active

Practice location

510 W 29th St
Cheyenne, WY 82001-2760

Call (307) 632-9362 Map

Fax (307) 637-6852

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW-1942 (CO)
Clinical Social Worker Primary 1041C0700XLCSW-1046 (WY)

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 1144595323

Lacey K. Petersen, LCSW's National Provider Identifier is 1144595323, issued on Mar 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 1, 2017.