IndividualActive
Dana Petersen, LICSW
NPI 1376051896 · Clinical Social Worker · Springfield, VT
Provider details
- NPI number
- 1376051896
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 089.0120793 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
390 River St
Springfield, VT 05156-2226
Phone: (802) 886-4500
Fax: (802) 886-4520
Approximate (ZIP-level) locationGet directions
Mailing address
390 River St
Springfield, VT 05156-2226
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.