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

Individual provider Clinical Social Worker · NPI 1861823056

Lesley Petersen, LCSW is a Clinical Social Worker in Red Bank, New Jersey. Qualified in 2009, 17 years ago. Practices with Lifebulb LLC, a 94-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2013
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

270 Highway 35
Red Bank, NJ 07701-5920
Phone: (732) 842-2000
Fax: (732) 224-0688
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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 44SC05578900 (NJ)

Record details

NPI number1861823056
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 12, 2013
Last updated in NPPESJune 15, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lifebulb Llc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Red Bank