MS. CAROL ANN PETERSEN LICSW
NPI 1497143804
Social Worker - Clinical in St Louis Park, MN

Active since January 07, 2015
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-5682 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carol Ann Petersen Licsw NPPES

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

MS. CAROL ANN PETERSEN LICSW (NPI 1497143804) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (20646) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1497143804
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAROL ANN PETERSENCredential: LICSW
Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000
Mailing Address3816 47th Ave SMinneapolis, MN 55406-3606 · (612) 724-4129
Sole ProprietorNo
Enumeration DateJanuary 7, 2015
NPI 1497143804 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 · 20646
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.
3931 LOUISIANA AVE S, St Louis Park, MN 55426

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.

Nurse Practitioner
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426

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 Carol Petersen's NPI number?

The NPI number for Carol Petersen is 1497143804. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Carol Petersen located?

Carol Petersen practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-5682.

What is Carol Petersen'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 Carol Petersen was last updated on January 7, 2015. 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.