Individual provider · Type 1 NPI

Jensine Peterson, LCSW

Clinical Social Worker · Gresham, OR

NPI number 1427868546 Active

Practice location

4101 NE Division St
Gresham, OR 97030-4617

Call (503) 666-6575 Map

Mailing address

4730 SE Belmont St Apt 3
Portland, OR 97215-1772

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11844 (OR)

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 1427868546

Jensine Peterson, LCSW's National Provider Identifier is 1427868546, issued on Jan 10, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gresham, OR. The record was last updated on Jan 10, 2025.