Individual provider · Type 1 NPI

Samantha Macy Peters

Clinical Social Worker · St. Louis Park, MN

NPI number 1104517291 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-3123 Map

Mailing address

8170 33rd Ave S
Bloomington, MN 55425-4516

Other practice locations

  • 2312 S 6th St # F198, Minneapolis, MN 55454-1336 · (612) 273-5640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28956 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104517291

Samantha Macy Peters's National Provider Identifier is 1104517291, issued on May 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Feb 20, 2026.