Individual provider · Type 1 NPI
Julie Blake Peterson, LCSW
Clinical Social Worker · Dwg, TX
Practice location
2315 Michigan Ct
Dwg, TX 76016-5724
Mailing address
2810 Peachtree Ln
Pantego, TX 76013-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 28303 (TX) |
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…
About NPI 1942900667
Julie Blake Peterson, LCSW's National Provider Identifier is 1942900667, issued on Mar 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dwg, TX. The record was last updated on Sep 22, 2026.