Individual provider · Type 1 NPI

Michelle Peterson

Clinical Social Worker · Auburn, CA

NPI number 1700545902 Active

Practice location

11512 B Ave
Auburn, CA 95603-2605

Mailing address

101 Cirby Hills Dr
Roseville, CA 95678-4360

Other practice locations

  • 101 Cirby Hills Dr, Roseville, CA 95678-4360 · (916) 812-5577

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X98823 (CA)
Social Worker 104100000X98823 (CA)
Clinical Social Worker 1041C0700X98823 (CA)
Clinical Social Worker Primary 1041C0700X119345 (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 1700545902

Michelle Peterson's National Provider Identifier is 1700545902, issued on Dec 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Auburn, CA. The record was last updated on Nov 29, 2023.