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CAROL PEDERSON LCSW
NPI 1053795948
Social Worker - Clinical in San Diego, CA

Active since July 10, 2015
7410 MISSION VALLEY RD # HZ122, SAN DIEGO, CA 92108(619) 497-8931(619) 497-8986 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Pederson Lcsw NPPES

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

CAROL PEDERSON LCSW (NPI 1053795948) is an individual clinical provider in San Diego, California, licensed in California (LCS 20728) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1053795948
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROL PEDERSONCredential: LCSW
Location Address7410 MISSION VALLEY RD # HZ122San Diego, CA 92108-4405
Mailing Address7410 Mission Valley Rd # Hz122San Diego, CA 92108-4405 · (619) 497-8931 · Fax (619) 497-8986
Phone(619) 497-8931
Fax(619) 497-8986
Sole ProprietorYes
Enumeration DateJuly 10, 2015
✔ NPI 1053795948 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 20728
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.
7410 MISSION VALLEY RD # HZ122, San Diego, CA 92108
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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 Carol Pederson's NPI number?

The NPI number for Carol Pederson is 1053795948. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Carol Pederson located?

Carol Pederson practices at 7410 Mission Valley Rd # Hz122, San Diego, CA 92108. The listed phone number is (619) 497-8931.

What is Carol Pederson'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 Carol Pederson was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.