Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cori Christina Boehm-Peterson, LICSW

Individual provider Clinical Social Worker · NPI 1376856518

Cori Christina Boehm-Peterson, LICSW is a Clinical Social Worker in Richfield, Minnesota. Qualified in 2004, 22 years ago. Practices with Affinity Psychological Services PC, a 64-clinician group and works from 3 locations. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
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

6636 Cedar Ave S Ste 360
Richfield, MN 55423-2712
Phone: (612) 998-8934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 — (612) 998-8934
  • 701 Park Ave, Minneapolis, MN 55415-1623 — (612) 873-4304

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 14296 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 14296 (MN)

Record details

NPI number1376856518
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 16, 2010
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Affinity Psychological Services Pc — 64 clinicians
Accepts Medicare assignment Not indicated

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