Individual provider · Type 1 NPI

Le Ann M. Petersilie, LSCSW

Clinical Social Worker · Great Bend, KS

NPI number 1427668334 Active

Practice location

1905 19th St
Great Bend, KS 67530-2502

Call (620) 792-5700 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X06471 (KS)

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 1427668334

Le Ann M. Petersilie, LSCSW's National Provider Identifier is 1427668334, issued on Aug 5, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Great Bend, KS. The record was last updated on Sep 10, 2026.