Individual provider · Type 1 NPI

Jean B. Peterson, LCSW

Clinical Social Worker · Stonington, CT

NPI number 1295804193 Active

Practice location

22 Bayview Ave
Stonington, CT 06378-1142

Call (860) 536-4478 Map

Fax (860) 536-4478

Mailing address

6 Godfrey St
Mystic, CT 06355-1702

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003735 (CT)
Clinical Social Worker 1041C0700XR010111-1 (NY)

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 1295804193

Jean B. Peterson, LCSW's National Provider Identifier is 1295804193, issued on Nov 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stonington, CT. The record was last updated on Jan 25, 2012.