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

Rebecca Lee Petersen

Individual provider Clinical Social Worker · NPI 1124352174

Rebecca Lee Petersen is a Clinical Social Worker in Madison, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2009

Practice location Address checks out

147 Durham Rd Oak Park
Madison, CT 06443-2675
Phone: (860) 227-6839
Fax: (860) 227-6839
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 008697 (CT)

Record details

NPI number1124352174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESDecember 3, 2014
Mailing address1 Vaccinium Way, Old Lyme, CT 06371-2809

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