Individual provider · Type 1 NPI

Michael Wayne Petersen, LCSW

Clinical Social Worker · Sacramento, CA

NPI number 1346254935 Active

Practice location

2750 Sutterville Rd
Sacramento, CA 95820-1024

Call (916) 290-8155 Map

Fax (916) 456-4636

Mailing address

1249 Farragut Cir
Davis, CA 95616-6364

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20221 (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 1346254935

Michael Wayne Petersen, LCSW's National Provider Identifier is 1346254935, issued on Jul 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.