Individual provider · Type 1 NPI

Jessica Peterson, LCSW

Clinical Social Worker · Coeur D Alene, ID

NPI number 1669901260 Active

Practice location

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Call (208) 930-1740 Map

Fax (208) 930-1695

Other practice locations

  • 1038 Northwest Blvd, Coeur D Alene, ID 83814-2249 · (208) 930-1740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-39938 (ID)

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 1669901260

Jessica Peterson, LCSW's National Provider Identifier is 1669901260, issued on Jun 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 12, 2023.