MS. KATHLEEN C PETERSEN LCSW
NPI 1053747576
Social Worker - Clinical in Des Plaines, IL

Active since September 16, 2013
591 COLUMBIA AVE, DES PLAINES, IL 60016(847) 757-5050 Get Directions Write a Review

NPPES record last updated: September 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen C Petersen Lcsw NPPES

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

MS. KATHLEEN C PETERSEN LCSW (NPI 1053747576) is an individual clinical provider in Des Plaines, Illinois, licensed in Illinois (149014870) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1053747576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHLEEN C PETERSENCredential: LCSW
Location Address591 COLUMBIA AVEDes Plaines, IL 60016-3062
Mailing Address591 Columbia AveDes Plaines, IL 60016-3062 · (847) 757-5050
Sole ProprietorYes
Enumeration DateSeptember 16, 2013
NPI 1053747576 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 IL · 149014870
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.
591 COLUMBIA AVE, Des Plaines, IL 60016

Other Names 1

Former Name (1)Kathleen Ann Cavanagh

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 Kathleen Petersen's NPI number?

The NPI number for Kathleen Petersen is 1053747576. It was assigned to this individual provider in the NPPES registry on September 16, 2013. The provider is also known as Kathleen Ann Cavanagh.

Where is Kathleen Petersen located?

Kathleen Petersen practices at 591 Columbia Ave, Des Plaines, IL 60016. The listed phone number is (847) 757-5050.

What is Kathleen 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 Kathleen Petersen was last updated on September 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.