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

Kraig Robert Peterson, LGSW

Individual provider Clinical Social Worker · NPI 1093293326

Kraig Robert Peterson, LGSW is a Clinical Social Worker in Duluth, Minnesota. Qualified in 2018, 8 years ago. Practices with Lake Superior Community Health Center, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4325 Grand Ave
Duluth, MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 722-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 E 5th St, Superior, WI 54880-3709 — (715) 392-1955

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27303 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9522 (WI)

Record details

NPI number1093293326
Entity typeIndividual (Type 1)
GenderMale
Credentials LGSW
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lake Superior Community Health Center — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Duluth