Individual provider · Type 1 NPI

Jennifer Petersen, LLMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1386427136 Active

Practice location

1331 Martin Luther King Jr St SE
Grand Rapids, MI 49506-2634

Other practice locations

  • 1331 Martin Luther King Jr St SE, Grand Rapids, MI 49506-2634 · (616) 819-1067

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851109934 (MI)

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 1386427136

Jennifer Petersen, LLMSW's National Provider Identifier is 1386427136, issued on Aug 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 16, 2023.