Individual provider · Type 1 NPI

Gloria Dean Scales Peterson, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1376739656 Active

Practice location

3333 North 4th Street
Minneapolis, MN 55412

Call (612) 239-7119 Map

Fax (612) 632-8653

Mailing address

P.o. Box 22305
Robbinsdale, MN 55422-9998

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3696 (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 1376739656

Gloria Dean Scales Peterson, LICSW's National Provider Identifier is 1376739656, issued on Sep 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 21, 2022.