Individual provider · Type 1 NPI

Robert John Peterson, LICSW

Clinical Social Worker · Loon Lake, WA

NPI number 1922336684 Active

Practice location

40647 Lake Rd
Loon Lake, WA 99148-9795

Other practice locations

  • 200 Center St, Moriarty, NM 87035-2000 · (505) 832-5817

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X60174553 (WA)
Social Worker 104100000XX-06759 (NM)

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 1922336684

Robert John Peterson, LICSW's National Provider Identifier is 1922336684, issued on Nov 18, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Loon Lake, WA. The record was last updated on Nov 9, 2023.