TARA PETERSON LICSW, LADC
NPI 1437027620
Social Worker - Clinical in Edina, MN

Active since October 28, 2025
3400 W 66TH ST STE 400, EDINA, MN 55435(952) 914-1701(952) 914-1708 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Peterson Licsw, Ladc NPPES

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

TARA PETERSON LICSW, LADC (NPI 1437027620) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (31350) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1437027620
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA PETERSONCredential: LICSW, LADC
Location Address3400 W 66TH ST STE 400Edina, MN 55435-2134
Mailing Address3400 W 66th St Ste 400Edina, MN 55435-2134 · (952) 914-1701 · Fax (952) 914-1708
Fax(952) 914-1708
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1437027620 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 · 31350
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.
3400 W 66TH ST STE 400, Edina, MN 55435

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
3400 W 66TH ST STE 400
EDINA, MN 55435
Marriage & Family Therapist
3400 W 66TH ST STE 400
EDINA, MN 55435
Counselor (Mental Health)
3400 W 66TH ST STE 400
EDINA, MN 55435
Social Worker (Clinical)
3400 W 66TH ST STE 400
EDINA, MN 55435
Marriage & Family Therapist
3400 W 66TH ST STE 400
EDINA, MN 55435
Psychologist
3400 W 66TH ST STE 400
EDINA, MN 55435
Social Worker (Clinical)
3400 W 66TH ST STE 400
EDINA, MN 55435
Social Worker (Clinical)
3400 W 66TH ST STE 400
EDINA, MN 55435

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 Tara Peterson's NPI number?

The NPI number for Tara Peterson is 1437027620. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Tara Peterson located?

Tara Peterson practices at 3400 W 66th St Ste 400, Edina, MN 55435. The listed phone number is (952) 914-1701.

What is Tara 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 Tara Peterson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.