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Shirley Marie Petersen, LCSWLMHPLADC
Clinical Social Worker in Pine Ridge, South Dakota
NPI 1740356336

Shirley Marie Petersen is a Clinical Social Worker based in Gordon, SD and is specialized in Clinical. Shirley Marie Petersen practices in Pine Ridge, SD and has the professional credentials of LCSWLMHPLADC. The NPI Number for Shirley Marie Petersen is 1740356336 and holds a License No. P386 (South Dakota).

The current practice location address for Shirley Marie Petersen is Highway 18, Pine Ridge, SD and can be reached out via phone at 605-867-3100 and via fax at 605-867-3274. You can also correspond with Shirley Marie Petersen through the mailing address at 917 N SPRUCE ST, GORDON, NE - 69343-1116 (mailing address contact number: 308-282-0180).

Location: Highway 18, Pine Ridge, SD, 69343-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740356336
Provider Name
Shirley Marie Petersen
Credential
LCSWLMHPLADC
Provider Entity Type
Individual
Gender
Female
Address
Highway 18, Pine Ridge, SD, 69343-1116
Phone Number
605-867-3100
Fax Number
605-867-3274
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025224900 05 NE
82235 01 NE BCBS
47037661202 05 NE
10025315600 05 NE
institution
Provider Business Practice Location Address Details
Address
Highway 18
City
Pine Ridge
State
South Dakota
Zip
57770
Phone Number
605-867-3100
Fax Number
605-867-3274
person
Provider Business Mailing Address Details
Address
917 N Spruce St
City
Gordon
State
Nebraska
Zip
69343-1116
Phone Number
308-282-0180
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.
1043 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMHP (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
P386 (Nebraska)
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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