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

Mrs. Lavoncia Regan Peterson, LCSW, LCASA

Individual provider Clinical Social Worker · NPI 1093268146

Mrs. Lavoncia Regan Peterson, LCSW, LCASA is a Clinical Social Worker in Jacksonville, North Carolina. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
10
Licensed in
NC, VA
In the registry since
2016
Specialties on file
3
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

200 Valencia Dr Ste 117
Jacksonville, NC 28546-6312
Phone: (910) 358-6742
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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 C012196 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904012942 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-22699 (NC)

Record details

NPI number1093268146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCASA
Sole proprietorYes
NPI enumeratedJuly 25, 2016
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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