Individual provider · Type 1 NPI
Jessica Ann Peterson, LICSW, CSW-PIP
Clinical Social Worker · Eagan, MN
Practice location
1585 Thomas Center Dr, Ste 104
Eagan, MN 55122-3039
Mailing address
6485 134th St W
Apple Valley, MN 55124-7917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 4550 (ND) |
| Clinical Social Worker | 1041C0700X | 3028 (SD) |
| Clinical Social Worker Primary | 1041C0700X | 20365 (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…
Another provider at this address
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About NPI 1497966238
Jessica Ann Peterson, LICSW, CSW-PIP's National Provider Identifier is 1497966238, issued on May 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eagan, MN. The record was last updated on Jan 14, 2019.