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

Jennifer Petersen, LICSW

Individual provider Clinical Social Worker · NPI 1588318737

Jennifer Petersen, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
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

4748 Chicago Ave Ste 4
Minneapolis, MN 55407-4320
Phone: (612) 710-7770
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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 17473 (MN)

Record details

NPI number1588318737
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 7, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

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