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MRS. GLORIA DEAN SCALES PETERSON LICSW
NPI 1376739656
Social Worker - Clinical in Minneapolis, MN

Active since September 19, 2007
3333 NORTH 4TH STREET, MINNEAPOLIS, MN 55412(612) 239-7119(612) 632-8653 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 31, 2017 (2 updates tracked since 2017).

About Mrs. Gloria Dean Scales Peterson Licsw NPPES

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

MRS. GLORIA DEAN SCALES PETERSON LICSW (NPI 1376739656) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (3696) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1376739656
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. GLORIA DEAN SCALES PETERSONCredential: LICSW
Location Address3333 NORTH 4TH STREETMinneapolis, MN 55412
Mailing AddressP.o. Box 22305Robbinsdale, MN 55422-9998 · (612) 239-7119 · Fax (612) 632-8653
Phone(612) 239-7119
Fax(612) 632-8653
Sole ProprietorYes
Enumeration DateSeptember 19, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1376739656 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 · 3696
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.
3333 NORTH 4TH STREET, Minneapolis, MN 55412
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Other Identifiers 2

Medicaid6220443MN
Other04931550MN · Medical Assistance

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 Gloria Peterson's NPI number?

The NPI number for Gloria Peterson is 1376739656. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Gloria Peterson located?

Gloria Peterson practices at 3333 North 4th Street, Minneapolis, MN 55412. The listed phone number is (612) 239-7119.

What is Gloria 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 Gloria Peterson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.