Individual provider · Type 1 NPI

James Petersen, LCSW

Clinical Social Worker · Colorado Springs, CO

NPI number 1861040735 Active

Practice location

3141 Centennial Blvd
Colorado Springs, CO 80907-4094

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	2019302468 (MO)

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 1861040735

James Petersen, LCSW's National Provider Identifier is 1861040735, issued on Sep 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 3, 2019.