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

Lavon L Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1013650365

Lavon L Petersen, LCSW is a Clinical Social Worker in Mililani, Hawaii. Practices as a sole proprietor. Licensed in Hawaii.

Licensed in
HI
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

95-1507 Ainamakua Dr Apt 30
Mililani, HI 96789-4406
Phone: (808) 829-1717
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4815 (HI)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1013650365
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address95-1507 Ainamakua Dr Apt 30, Mililani, HI 96789-4406

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