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

Shanice Nicole Peterson, LCSW

Individual provider Mental Health Counselor · NPI 1861037145

Shanice Nicole Peterson, LCSW is a Mental Health Counselor in San Diego, California. Licensed in California and District of Columbia. Registered with an NPI since 2019.

Licensed in
CA, DC
In the registry since
2019
Specialties on file
2
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

1620 5th Ave Ste 800
San Diego, CA 92101-2792
Phone: (619) 391-9665
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 134858 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LG50082715 (DC)

Record details

NPI number1861037145
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026

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