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Jaclyn Annette Petersen, MSW
Clinical Social Worker in Champaign, Illinois
NPI 1780273102

Jaclyn Annette Petersen is a Clinical Social Worker based in Champaign, IL and is specialized in Clinical. Jaclyn Annette Petersen practices in Champaign, IL and has the professional credentials of MSW. The NPI Number for Jaclyn Annette Petersen is 1780273102 and holds a License No. 149.022485 (Illinois).

The current practice location address for Jaclyn Annette Petersen is 309 W Clark St, Champaign, IL and can be reached out via phone at 217-398-9066 and via fax at 217-398-9077.

Location: 309 W Clark St, Champaign, IL, 61820-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780273102
Provider Name
Jaclyn Annette Petersen
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
309 W Clark St, Champaign, IL, 61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
Provider Enumeration Date
01/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 W Clark St
City
Champaign
State
Illinois
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider Business Mailing Address Details
Address
309 W Clark St
City
Champaign
State
Illinois
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149.022485 (Illinois)
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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