Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARA JEAN PETERSEN
ActiveLARA JEAN PETERSEN is a Clinical Social Worker healthcare provider located in PRINCETON, Illinois. NPI 1558974576 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PRINCETON, IL
Registration Details
- NPI Number
- 1558974576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2020 (5.9361770317982 yrs)
- Last Updated
- Jun 18, 2025
Practice Information
- Address
-
1916 N MAIN STPRINCETON, IL, 613569710Browse IL providers · Browse ZIP 61356
- Phone
- 8157282943
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PRINCETON, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MARK HORWITZ | LCSW CADC | 1801985759 |
| DAVID GORENZ | — | 1740610765 |
| LISA JOHNSON | LCSW | 1417375650 |
| SUSAN ERNST | — | 1306409933 |
| ARIEL E SWANSON | LCSW | 1093379802 |
| JOSEPH D. SIEGEL | LCSW | 1053976712 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.