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

MS. JOY MARIE PETERMANN MSW LICSW
NPI 1366491466
Social Worker - Clinical in St Louis Park, MN

Active since May 08, 2006Opted out of Medicare · through Apr 3, 2028
5353 WAYZATA BLVD STE 202, ST LOUIS PARK, MN 55416(763) 432-4072(763) 432-4073 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Joy Marie Petermann Msw Licsw NPPES

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

MS. JOY MARIE PETERMANN MSW LICSW (NPI 1366491466) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (14968) and active in the NPI registry since May 2006. She has opted out of Medicare through April 3, 2028.

NPPES Registry Identity

NPI1366491466
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JOY MARIE PETERMANNCredential: MSW LICSW
Location Address5353 WAYZATA BLVD STE 202St Louis Park, MN 55416-1316
Mailing Address5353 Wayzata Blvd Ste 202St Louis Park, MN 55416-1316 · (763) 432-4072 · Fax (763) 432-4073
Phone(763) 432-4072
Fax(763) 432-4073
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 10, 2018
✔ NPI 1366491466 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 · 14968
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.
5353 WAYZATA BLVD STE 202, St Louis Park, MN 55416
Open in Google Maps ↗

Other Identifiers 1

Other712687500Cadi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Joy Marie Petermann Msw Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2026 through April 3, 2028.

Opt-Out Effective DateApril 3, 2026
Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

JULIAN SANBORN PH.D., LICSW, SEP
Social Worker (Clinical)
5353 WAYZATA BLVD STE 202
ST LOUIS PARK, MN 55416
Hennepin County (763) 432-4071
ANNA GUSOVSKY MS, LPCC
Counselor (Professional)
5353 WAYZATA BLVD STE 202
ST LOUIS PARK, MN 55416
Hennepin County (612) 423-7032
INTEGRATION PSYCHOTHERAPY AND WELLN
Psychologist (Counseling)
5353 WAYZATA BLVD STE 202
ST LOUIS PARK, MN 55416
Hennepin County (612) 749-2888

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 Joy Petermann's NPI number?

The NPI number for Joy Petermann is 1366491466. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Joy Petermann located?

Joy Petermann practices at 5353 Wayzata Blvd Ste 202, St Louis Park, MN 55416. The listed phone number is (763) 432-4072.

What is Joy Petermann's specialty?

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

Is Joy Petermann enrolled in Medicare?

No. Joy Petermann has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joy Petermann was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.