Individual provider · Type 1 NPI
Stephen Peterson, LCSW, LCAC
Clinical Social Worker · Lafayette, IN
Practice location
3708 Ashley Oaks Dr, Apt. D
Lafayette, IN 47905-4495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34001361A (IN) |
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 1790161776
Stephen Peterson, LCSW, LCAC's National Provider Identifier is 1790161776, issued on Jul 31, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, IN. The record was last updated on Jul 31, 2015.