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

Maija Peterfeso, MSWLICSW

Individual provider Clinical Social Worker · NPI 1104626167

Maija Peterfeso, MSWLICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Stacia Hanson MA LP LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2025
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Practice location Address checks out

1197 Grand Ave
Saint Paul, MN 55105-2634
Phone: (763) 703-4215
Fax: (877) 775-3306
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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 15050 (MN)

Record details

NPI number1104626167
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLICSW
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stacia Hanson Ma Lp Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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