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

Mr. Henry Soron Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1053665182

Mr. Henry Soron Petersen, LCSW is a Clinical Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4550 Kearny Villa Rd Ste 116
San Diego, CA 92123-1583
Phone: (858) 279-1223
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 24934 (CA)

Record details

NPI number1053665182
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 26, 2012
Last updated in NPPESOctober 26, 2012

Other providers in San Diego