Individual provider · Type 1 NPI

Ellen Peterson, LCSW

Clinical Social Worker · Ithaca, NY

NPI number 1760972350 Active

Practice location

402 N Cayuga St
Ithaca, NY 14850-4291

Call (607) 793-4668 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR043246-1

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 1760972350

Ellen Peterson, LCSW's National Provider Identifier is 1760972350, issued on May 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on May 18, 2018.