Individual provider · Type 1 NPI
Lara Jean Petersen
Clinical Social Worker · Princeton, IL
Practice location
1916 N Main St
Princeton, IL 61356-9710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
3 other providers at this address
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About NPI 1558974576
Lara Jean Petersen's National Provider Identifier is 1558974576, issued on Aug 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Princeton, IL. The record was last updated on Jun 18, 2025.