1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Social Worker
  6. NPI Profile

SAMANTHA MACY PETERS
NPI 1104517291
Social Worker - Clinical in St Louis Park, MN

Active since May 18, 2023PECOS Enrolled
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-3123 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Macy Peters NPPES

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

SAMANTHA MACY PETERS (NPI 1104517291) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (28956) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104517291
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA MACY PETERS
Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702
Mailing Address8170 33rd Ave SBloomington, MN 55425-4516
Phone(952) 993-3123
Sole ProprietorYes
Enumeration DateMay 18, 2023
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1104517291 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 · 28956
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.
6500 EXCELSIOR BLVD, St Louis Park, MN 55426
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Macy Peters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NANCY COLE NELSON M.D.
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
DR. KATIE LYNN ANDRINAS MD, MPH
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3282
CARA HOULE MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
JANET GRAYSON MD
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6600
JEFFREY J SHULTZ
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3246
MARY BETH JOHNSON OTR/L
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6087
MARY KATHERINE KOSANDA P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6014
JENNIFER A DEUTZ P.T.
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900

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 Samantha Peters's NPI number?

The NPI number for Samantha Peters is 1104517291. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Samantha Peters located?

Samantha Peters practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-3123.

What is Samantha Peters's specialty?

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

Is Samantha Peters enrolled in Medicare?

Yes. Samantha Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Peters was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.