Individual provider · Type 1 NPI

Richard James Petersen

Clinical Social Worker · Susanville, CA

NPI number 1316754849 Active

Practice location

44 N Lassen St
Susanville, CA 96130-3966

Call (530) 310-0169 Map

Mailing address

692-555 Phil Dow Rd
Susanville, CA 96130-9579

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	ASW125629 (CA)

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 1316754849

Richard James Petersen's National Provider Identifier is 1316754849, issued on Dec 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Susanville, CA. The record was last updated on Dec 17, 2024.