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

Jennifer Lynn Peterson

Individual provider Clinical Social Worker · NPI 1487299293

Jennifer Lynn Peterson is a Clinical Social Worker in Mora, Minnesota. Qualified in 2004, 22 years ago. Practices with Family Based Therapy Associates, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2019

Practice location Address checks out

301 Highway 65 S
Mora, MN 55051-1899
Phone: (320) 225-3579
Fax: (320) 225-3533
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 15296 (MN)

Record details

NPI number1487299293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2019
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

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 Family Based Therapy Associates — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mora