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

Individual provider Clinical Social Worker · NPI 1386061455

Samantha Petersen, LCSW-C is a Clinical Social Worker in Fredericksburg, Virginia. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4830 Southpoint Dr
Fredericksburg, VA 22407-2606
Phone: (540) 370-4468
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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 17668 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904013416 (VA)

Record details

NPI number1386061455
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedMarch 26, 2014
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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