Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beth K. Peterson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1154503076

Beth K. Peterson, MSW, LICSW is a Clinical Social Worker in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7365 Kirkwood Ct Ste 360
Maple Grove, MN 55369
Phone: (763) 424-9591
Fax: (763) 496-0635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15975 (MN)

Record details

NPI number1154503076
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedDecember 3, 2007
Last updated in NPPESJuly 21, 2022

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