Individual provider · Type 1 NPI

Bridget Judith Peterson-Fennell, LCSW

Clinical Social Worker · Palmyra, VA

NPI number 1720486459 Active

Practice location

73 Amethyst Rd
Palmyra, VA 22963-2414

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006965 (VA)

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 1720486459

Bridget Judith Peterson-Fennell, LCSW's National Provider Identifier is 1720486459, issued on Dec 11, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palmyra, VA. The record was last updated on Dec 11, 2014.