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

Denise J Petrich

Individual provider Clinical Social Worker · NPI 1669217113

Denise J Petrich is a Clinical Social Worker in Woodbury, Minnesota. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2024

Practice location Address checks out

1818 Wooddale Dr Ste 110
Woodbury, MN 55125-2947
Phone: (651) 485-4380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23359 (MN)

Record details

NPI number1669217113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Woodbury