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Mr. Kyle Peterson, LCSW
Clinical Social Worker in Madison, Wisconsin
NPI 1700466117

Kyle Peterson is a Clinical Social Worker based in Madison, WI and is specialized in Clinical. Kyle Peterson practices in Madison, WI and has the professional credentials of LCSW. The NPI Number for Kyle Peterson is 1700466117 and holds a License No. 19344-130 (Wisconsin).

The current practice location address for Kyle Peterson is 1202 Northport Dr, Madison, WI and can be reached out via phone at 608-921-8289.

Location: 1202 Northport Dr, Madison, WI, 53704-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700466117
Provider Name
Kyle Peterson
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1202 Northport Dr, Madison, WI, 53704-2020
Phone Number
608-921-8289
Fax Number
Provider Enumeration Date
04/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 Northport Dr
City
Madison
State
Wisconsin
Zip
53704-2020
Phone Number
608-921-8289
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Northport Dr
City
Madison
State
Wisconsin
Zip
53704-2020
Phone Number
608-921-8289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
9983-123 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
131900-121 (Wisconsin)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
19344-130 (Wisconsin)
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.
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