Individual provider · Type 1 NPI

Daniel Jay Petersen, LMSW

Clinical Social Worker · Southgate, MI

NPI number 1740458538 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

36921 Jefferson Ct Apt 758
Farmington Hills, MI 48335-1979

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6801082846 (MI)
Clinical Social Worker Primary 1041C0700X6801082846 (MI)

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 1740458538

Daniel Jay Petersen, LMSW's National Provider Identifier is 1740458538, issued on Feb 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southgate, MI. The record was last updated on Mar 3, 2026.