Kathleen C. Petersen, LCSW

Clinical Social Worker · Des Plaines, IL

Individual Active NPI

NPI number 1053747576

Practice location

591 Columbia Ave
Des Plaines, IL 60016-3062
Phone
(847) 757-5050

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NPI record

NPI
1053747576
Entity type
Individual (Type 1)
Enumeration date
September 16, 2013
Last updated
September 16, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149014870 IL

About Kathleen Petersen

Kathleen C. Petersen, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 591 Columbia Ave, Des Plaines, IL 60016-3062. The NPI number 1053747576 was assigned on September 16, 2013 and the record was last updated on September 16, 2013.

Kathleen Petersen lists a license in the registry: #149014870 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathleen C. Petersen, LCSW?

The NPI number is 1053747576.

What is the phone number of Kathleen Petersen?

The phone number listed for the practice location is (847) 757-5050.

Where is Kathleen Petersen located?

591 Columbia Ave, Des Plaines, IL 60016-3062.

What is the taxonomy code for Kathleen Petersen?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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