Individual provider · Type 1 NPI

Stephanie Petersen

Clinical Social Worker · Jefferson City, MO

NPI number 1639705676 Active

Practice location

5723 Bridlespur Ln
Jefferson City, MO 65109-5372

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1639705676

Stephanie Petersen's National Provider Identifier is 1639705676, issued on Mar 22, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jefferson City, MO. The record was last updated on Nov 19, 2021.