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REBECCA L. PETERSEN, LCSW, LLC
NPI 1437535580
Social Worker - Clinical in Madison, CT

Active since July 30, 2015
147 DURHAM RD, OAK PARK, MADISON, CT 06443(860) 227-6839 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca L. Petersen, Lcsw, Llc NPPES

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

REBECCA L. PETERSEN, LCSW, LLC (NPI 1437535580) is a healthcare organization registered as a clinical in Madison, Connecticut and active in the NPI registry since July 2015. The organization lists Rebecca Lee Petersen, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1437535580
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREBECCA L. PETERSEN, LCSW, LLC
Location Address147 DURHAM RD, OAK PARKMadison, CT 06443-2675
Mailing Address1 Vaccinium WayOld Lyme, CT 06371-2809 · (860) 227-6839 · Fax (203) 643-2204
Phone(860) 227-6839
Organization SubpartNo
Authorized OfficialRebecca Lee PetersenOwner/psychotherapist · (860) 227-6839
Enumeration DateJuly 30, 2015
✔ NPI 1437535580 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid008056034CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
REBECCA LEE PETERSEN
Social Worker (Clinical)
147 DURHAM RD, OAK PARK
MADISON, CT 06443
South Central Connecticut Planning Region (860) 227-6839
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
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 L. Petersen, Lcsw, LLC's NPI number?

The NPI number for Rebecca L. Petersen, Lcsw, LLC is 1437535580. It was assigned to this organization in the NPPES registry on July 30, 2015.

Where is Rebecca L. Petersen, Lcsw, LLC located?

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

What is Rebecca L. Petersen, Lcsw, LLC'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 L. Petersen, Lcsw, LLC was last updated on July 30, 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.