Individual provider · Type 1 NPI

Mary Petersen

Clinical Social Worker · Casper, WY

NPI number 1629467048 Active

Practice location

1430 Wilkins Cir
Casper, WY 82601-1336

Call (307) 237-9583 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-906 (WY)

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 1629467048

Mary Petersen's National Provider Identifier is 1629467048, issued on Jan 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Casper, WY. The record was last updated on Jan 22, 2015.