Individual provider · Type 1 NPI

Bethany Petersen, LMSW

Clinical Social Worker · Endicott, NY

NPI number 1801764659 Active

Practice location

515 E Main St
Endicott, NY 13760-5023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X127310-01 (NY)

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 1801764659

Bethany Petersen, LMSW's National Provider Identifier is 1801764659, issued on Oct 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Endicott, NY. The record was last updated on Oct 24, 2025.