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

Ellen Petersen, LISW

Individual provider Social Worker · NPI 1710403001

Ellen Petersen, LISW is a Social Worker in Clive, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2017
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Practice location Address checks out

13137 University Ave Ste 140
Clive, IA 50325-8299
Phone: (515) 758-9606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 087080 (IA)

Record details

NPI number1710403001
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedAugust 17, 2017
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address13137 University Ave Ste 140, Clive, IA 50325-8299

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