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

Individual provider Clinical Social Worker · NPI 1053747576

MS. Kathleen C Petersen, LCSW is a Clinical Social Worker in Des Plaines, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
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

591 Columbia Ave
Des Plaines, IL 60016-3062
Phone: (847) 757-5050
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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 149014870 (IL)

Record details

NPI number1053747576
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2013

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