Individual provider · Type 1 NPI

Corby J. Petersen, LCSW

Clinical Social Worker · Eagle River, AK

NPI number 1225089840 Active

Practice location

13135 Old Glenn Hwy
Eagle River, AK 99577-7562

Mailing address

PO Box 770925
Eagle River, AK 99577-0925

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X499 (AK)

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 1225089840

Corby J. Petersen, LCSW's National Provider Identifier is 1225089840, issued on May 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagle River, AK. The record was last updated on Feb 9, 2010.