Individual provider · Type 1 NPI

Maija Peterfeso, MSW LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1104626167 Active

Practice location

1197 Grand Ave
St. Paul, MN 55105-2634

Fax (877) 775-3306

Mailing address

7101 York Ave S Ste 317
Edina, MN 55435-4469

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15050 (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 1104626167

Maija Peterfeso, MSW LICSW's National Provider Identifier is 1104626167, issued on Mar 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Mar 18, 2025.