Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott R Petersen, LCSW, CADC, CAC-III

Individual provider Clinical Social Worker · NPI 1386758183

Mr. Scott R Petersen, LCSW, CADC, CAC-III is a Clinical Social Worker in Denver, Colorado. Licensed in Colorado and Illinois. Registered with an NPI since 2006.

Licensed in
CO, IL
In the registry since
2006
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.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

2111 Champa St
Denver, CO 80205-2529
Phone: (303) 312-9588
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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 1566 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149010898 (IL)

Record details

NPI number1386758183
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADC , CAC-III
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESMarch 5, 2012

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