Individual provider · Type 1 NPI

Scott R. Petersen, LCSW, CADC, CAC-III

Clinical Social Worker · Denver, CO

NPI number 1386758183 Active

Practice location

2111 Champa St
Denver, CO 80205-2529

Mailing address

PO Box 201630
Denver, CO 80220-7630

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149010898 (IL)
Clinical Social Worker Primary 1041C0700X1566 (CO)

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 1386758183

Scott R. Petersen, LCSW, CADC, CAC-III's National Provider Identifier is 1386758183, issued on Aug 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Denver, CO. The record was last updated on Mar 5, 2012.