Individual provider · Type 1 NPI
Kei Petersen, LCSW
Clinical Social Worker · Rego Park, NY
Practice location
Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor
Rego Park, NY 11374
Mailing address
9777 Queens Blvd
Rego Park, NY 11374-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 080640 (NY) |
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 1477083491
Kei Petersen, LCSW's National Provider Identifier is 1477083491, issued on Jun 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rego Park, NY. The record was last updated on Mar 12, 2018.