1. Home
  2. Directory
  3. Illinois
  4. Princeton
  5. Social Worker
  6. NPI Profile

LARA JEAN PETERSEN
NPI 1558974576
Social Worker - Clinical in Princeton, IL

Active since August 28, 2020
1916 N MAIN ST, PRINCETON, IL 61356(815) 728-2943 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Aug 28, 2020 (2 updates tracked since 2020).

About Lara Jean Petersen NPPES

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

LARA JEAN PETERSEN (NPI 1558974576) is an individual clinical provider in Princeton, Illinois and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1558974576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLARA JEAN PETERSEN
Location Address1916 N MAIN STPrinceton, IL 61356-9710
Mailing Address1916 N Main StPrinceton, IL 61356-9710 · (815) 728-2943
Phone(815) 728-2943
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1558974576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1916 N MAIN ST, Princeton, IL 61356
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

GRACE EAGER LCSW
Social Worker (Clinical)
1916 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 872-2943
ST MARGARET'S HOSPITAL
Clinic/Center (Rural Health)
1916 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 915-8748

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 Lara Petersen's NPI number?

The NPI number for Lara Petersen is 1558974576. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Lara Petersen located?

Lara Petersen practices at 1916 N Main St, Princeton, IL 61356. The listed phone number is (815) 728-2943.

What is Lara 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 Lara Petersen was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.