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

David Petersmark, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1093446866

David Petersmark, MSW, LCSW is a Clinical Social Worker in Aurora, Illinois. Qualified in 2021, 5 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone: (630) 394-1379
Fax: (331) 239-2705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1448 N Milwaukee Ave Ste 201, Chicago, IL 60622-6412 — (312) 476-9064

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149027570 (IL)

Record details

NPI number1093446866
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJune 22, 2022
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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