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

Mrs. Heather Louise Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1912533258

Mrs. Heather Louise Petersen, LCSW is a Clinical Social Worker in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in California and North Carolina.

Licensed in
CA, NC
In the registry since
2020
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.

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Practice location Address checks out

1020 Waterline Dr
Wake Forest, NC 27587-7735
Phone: (858) 740-8337
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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 C016357 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 25866 (CA)

Record details

NPI number1912533258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 18, 2020
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

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