Jaclyn Annette Petersen, MSW
Jaclyn Annette Petersen, MSW is a Clinical Social Worker in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
What do these letters mean?
- MSW — Master of Social Work
- The graduate degree in social work.
Practice location Address checks out
309 W Clark StChampaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
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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 149.022485 (IL) |
|---|
Record details
| NPI number | 1780273102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
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