Individual provider · Type 1 NPI
Jolynda Peterson
Clinical Social Worker · Fond Du Lac, WI
Practice location
295 Sheboygan St
Fond Du Lac, WI 54935-4364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW.09927082 (CO) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0000799 (CO) |
| Clinical Social Worker | 1041C0700X | 9991-123 (WI) |
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 1629411434
Jolynda Peterson's National Provider Identifier is 1629411434, issued on Apr 10, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Oct 18, 2026.