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

Individual provider Clinical Social Worker · NPI 1053795948

Carol Pederson, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7410 Mission Valley Rd # HZ122
San Diego, CA 92108-4405
Phone: (619) 497-8931
Fax: (619) 497-8986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 20728 (CA)

Record details

NPI number1053795948
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 10, 2015
Last updated in NPPESJuly 10, 2015

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