Individual provider · Type 1 NPI

Clayton Richard Peterson, LCSW

Clinical Social Worker · Elkhorn, WI

NPI number 1912662008 Active

Practice location

1910 County Road Nn
Elkhorn, WI 53121-4454

Mailing address

PO Box 1005
Elkhorn, WI 53121-1005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9722-123 (WI)

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 1912662008

Clayton Richard Peterson, LCSW's National Provider Identifier is 1912662008, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elkhorn, WI. The record was last updated on Jan 5, 2024.