NPI 1013650365

Lavon L Petersen, LCSW

Practitioner Clinical Social Worker Mililani, HI

Practice location

Address: 95-1507 Ainamakua Dr APT 30, Mililani, HI 96789-4406
Phone: (808) 829-1717

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4815 (HI)

Other Social Worker providers in Hawaii →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI: 1013650365
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2022
Record last updated: 27 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.