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

Ella Margaret Petersen, LCSW

Individual provider Social Worker · NPI 1194436816

Ella Margaret Petersen, LCSW is a Social Worker in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
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

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone: (847) 759-9110
Fax: (224) 985-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 150107244 (IL)

Record details

NPI number1194436816
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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