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ELIZABETH PETERSON LICSW
NPI 1053719062
Social Worker - Clinical in Minneapolis, MN

Active since December 08, 2014
1910 HENNEPIN AVE, MINNEAPOLIS, MN 55403(952) 221-2510 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Peterson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH PETERSON LICSW (NPI 1053719062) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (7023) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1053719062
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH PETERSONCredential: LICSW
Location Address1910 HENNEPIN AVEMinneapolis, MN 55403-3160
Mailing Address2700 E Lake StMinneapolis, MN 55406-1963 · (612) 873-8116
Phone(952) 221-2510
Sole ProprietorYes
Enumeration DateDecember 8, 2014
✔ NPI 1053719062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 7023
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1910 HENNEPIN AVE, Minneapolis, MN 55403
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY ROWAN SORENSEN MA, LPCC
Counselor (Mental Health)
1910 HENNEPIN AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 305-8885
DR. BRYAN CHRISTOPHER PLUCAR PSY.D., L.P.
Psychologist
1910 HENNEPIN AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 388-6095
RAH BRIDWELL
Social Worker (Clinical)
1910 HENNEPIN AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 871-2544
MAX CROWDER PSYD
Psychologist
1910 HENNEPIN AVE
MINNEAPOLIS, MN 55403
Hennepin County (612) 888-5407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Peterson's NPI number?

The NPI number for Elizabeth Peterson is 1053719062. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Where is Elizabeth Peterson located?

Elizabeth Peterson practices at 1910 Hennepin Ave, Minneapolis, MN 55403. The listed phone number is (952) 221-2510.

What is Elizabeth Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Peterson was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.