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

Individual provider Clinical Social Worker · NPI 1053737684

Meghann Rose Peterson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
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

1100 Glenwood Ave
Minneapolis, MN 55405-1430
Phone: (612) 871-1454
Fax: (612) 871-1505
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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 20969 (MN)

Record details

NPI number1053737684
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 6, 2014
Last updated in NPPESJuly 31, 2019

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