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

Richard James Petersen

Individual provider Clinical Social Worker · NPI 1316754849

Richard James Petersen is a Clinical Social Worker in Susanville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

44 N Lassen St
Susanville, CA 96130-3966
Phone: (530) 310-0169
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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 ASW125629 (CA)

Record details

NPI number1316754849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address692-555 Phil Dow Rd, Susanville, CA 96130-9579

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