MR. HENRY SORON PETERSEN L.C.S.W.
NPI 1053665182
Social Worker - Clinical in San Diego, CA

Active since October 26, 2012
4550 KEARNY VILLA RD STE 116, SAN DIEGO, CA 92123(858) 279-1223 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Henry Soron Petersen L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. HENRY SORON PETERSEN L.C.S.W. (NPI 1053665182) is an individual clinical provider in San Diego, California, licensed in California (LCS 24934) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1053665182
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. HENRY SORON PETERSENCredential: L.C.S.W.
Location Address4550 KEARNY VILLA RD STE 116San Diego, CA 92123-1583
Mailing Address4550 Kearny Villa Rd Ste 116San Diego, CA 92123-1583 · (858) 279-1223
Sole ProprietorNo
Enumeration DateOctober 26, 2012
NPI 1053665182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCS 24934
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4550 KEARNY VILLA RD STE 116, San Diego, CA 92123

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Marriage & Family Therapist
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Psychiatry & Neurology (Psychiatry)
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Marriage & Family Therapist
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Social Worker (Clinical)
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Psychiatry & Neurology (Psychiatry)
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Social Worker (Clinical)
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123
Registered Nurse
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Petersen's NPI number?

The NPI number for Henry Petersen is 1053665182. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Henry Petersen located?

Henry Petersen practices at 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123. The listed phone number is (858) 279-1223.

What is Henry Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Henry Petersen was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.