MARY PETERSEN
NPI 1629467048
Social Worker - Clinical in Casper, WY

Q: What is Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1629467048. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Q: What is Mary Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Petersen was last updated on January 22, 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.

Active since January 22, 2015

1430 WILKINS CIR, CASPER, WY 82601(307) 237-9583 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Petersen NPPES

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

MARY PETERSEN (NPI 1629467048) is an individual clinical provider in Casper, Wyoming, licensed in Wyoming (LCSW-906) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1629467048

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY PETERSEN

Location Address1430 WILKINS CIRCasper, WY 82601-1336

Mailing Address1430 Wilkins CirCasper, WY 82601-1336 · (307) 237-9583

Phone(307) 237-9583

Sole ProprietorNo

Enumeration DateJanuary 22, 2015

✔ NPI 1629467048 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 WY · LCSW-906

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.

1430 WILKINS CIR, Casper, WY 82601

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Other Providers at the Same Location NPPES 20

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

CAROL P CUTLER RN

Registered Nurse