Individual provider · Type 1 NPI

Peggy L. Wetmore, LICSW

Clinical Social Worker · Faribault, MN

NPI number 1558247643 Active

Practice location

1155 Willow St Trlr 19N
Faribault, MN 55021-7057

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9719 (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 1558247643

Peggy L. Wetmore, LICSW's National Provider Identifier is 1558247643, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Faribault, MN. The record was last updated on Sep 2, 2025.