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REBECCA LEE PETERSEN
NPI 1124352174
Social Worker - Clinical in Madison, CT

Active since September 23, 2009
147 DURHAM RD, OAK PARK, MADISON, CT 06443(860) 227-6839(860) 227-6839 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Lee Petersen NPPES

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

REBECCA LEE PETERSEN (NPI 1124352174) is an individual clinical provider in Madison, Connecticut, licensed in Connecticut (008697) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1124352174
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA LEE PETERSEN
Location Address147 DURHAM RD, OAK PARKMadison, CT 06443-2675
Mailing Address1 Vaccinium WayOld Lyme, CT 06371-2809 · (860) 227-6839
Phone(860) 227-6839
Fax(860) 227-6839
Sole ProprietorYes
Enumeration DateSeptember 23, 2009
Last NPPES UpdateDecember 3, 2014
✔ NPI 1124352174 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 CT · 008697
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.
147 DURHAM RD, Madison, CT 06443
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Other Providers at the Same Location NPPES 8

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

RYAN SHOOK LCSW
Social Worker (Clinical)
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (860) 238-3632
MR. L ALAN DUQUES LCSW
Counselor (Mental Health)
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 245-0064
TOWNSHEND-LACOCK, INC.
Psychologist (Clinical)
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 245-8732
JENNIFER REBECCA BRANT LCSW
Social Worker (Clinical)
147 DURHAM RD, SUITE 1
MADISON, CT 06443
South Central Connecticut Planning Region (203) 804-5218
REBECCA L. PETERSEN, LCSW, LLC
Social Worker (Clinical)
147 DURHAM RD, OAK PARK
MADISON, CT 06443
South Central Connecticut Planning Region (860) 227-6839
MARYANN Y GRIMALDI LMFT, LLC
Marriage & Family Therapist
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 214-6194
MRS. MARYANN Y GRIMALDI LMFT
Marriage & Family Therapist
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 214-6194
DR. JOSH BRANT MA, PSYD
Psychologist (Clinical)
147 DURHAM RD
MADISON, CT 06443
South Central Connecticut Planning Region (203) 228-4849

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 Rebecca Petersen's NPI number?

The NPI number for Rebecca Petersen is 1124352174. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Rebecca Petersen located?

Rebecca Petersen practices at 147 Durham Rd Oak Park, Madison, CT 06443. The listed phone number is (860) 227-6839.

What is Rebecca 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 Rebecca Petersen was last updated on December 3, 2014. 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.