Individual provider · Type 1 NPI
Jillian Peterson, LICSW
Clinical Social Worker · Duluth, MN
Practice location
401 N 44th Ave W
Duluth, MN 55807-1452
Mailing address
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 29399 (MN) |
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 1548950447
Jillian Peterson, LICSW's National Provider Identifier is 1548950447, issued on May 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on May 30, 2023.