Individual provider · Type 1 NPI

Jessica D. Peterson, LCSW

Clinical Social Worker · Columbia, MO

NPI number 1659010692 Active

Practice location

3005A Chinaberry Dr
Columbia, MO 65201-3550

Call (573) 874-8818 Map

Fax (573) 874-8818

Mailing address

2118 Mace Ct
Columbia, MO 65201-7659

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2022001054 (MO)

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 1659010692

Jessica D. Peterson, LCSW's National Provider Identifier is 1659010692, issued on May 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MO. The record was last updated on Jun 30, 2025.