Individual provider · Type 1 NPI

Stacy Peterson

Clinical Social Worker · Plymouth, MI

NPI number 1922522838 Active

Practice location

9409 N Haggerty Rd
Plymouth, MI 48170-4696

Call (734) 559-3540 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801089472 (MI)

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 1922522838

Stacy Peterson's National Provider Identifier is 1922522838, issued on Aug 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MI. The record was last updated on Aug 1, 2017.