Individual provider · Type 1 NPI

Deanna Sue Petersen, LCSW

Clinical Social Worker · Coronado, CA

NPI number 1679668149 Active

Practice location

1224 10th Street, Suite 206
Coronado, CA 92118-3420

Fax (619) 437-1881

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS9190 (CA)

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 1679668149

Deanna Sue Petersen, LCSW's National Provider Identifier is 1679668149, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coronado, CA. The record was last updated on Jul 8, 2007.