Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Paul Petersen

Individual provider Clinical Social Worker · NPI 1689161317

Benjamin Paul Petersen is a Clinical Social Worker in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
4

Practice location Address checks out

250 Executive Park Blvd Ste 4900
San Francisco, CA 94134-3335
Phone: (415) 900-9664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 136147 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW93696 (CA)
Counselor Taxonomy 101Y00000X · Licence 93696 (CA)
Social Worker Taxonomy 104100000X · Licence ASW93696 (CA)

Record details

NPI number1689161317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2018
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

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