Individual provider · Type 1 NPI

Carol Ann Petersen, LICSW

Clinical Social Worker · St. Louis Park, MN

NPI number 1497143804 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-5000

Call (952) 993-5682 Map

Mailing address

3816 47th Ave S
Minneapolis, MN 55406-3606

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20646 (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 1497143804

Carol Ann Petersen, LICSW's National Provider Identifier is 1497143804, issued on Jan 7, 2015. 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 Jan 7, 2015.