Robert John Peterson, LICSW
Robert John Peterson, LICSW is a Clinical Social Worker in Loon Lake, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico and Washington.
- Licensed in
- NM, WA
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
40647 Lake RdLoon Lake, WA 99148-9795
Phone: (509) 939-5515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 200 Center St, Moriarty, NM 87035-2000 — (505) 832-5817
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 60174553 (WA) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence X-06759 (NM) |
Record details
| NPI number | 1922336684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2009 |
| Last updated in NPPES | November 9, 2023 |
| Certification date | November 9, 2023 |
| Mailing address | 40647 Lake Rd, Loon Lake, WA 99148-9795 |
Other providers in Loon Lake
-
Michelle Woodward, LICSW
46621 Cedar Beau Rd, Loon Lake, WA 99148-5110 · (509) 224-8554