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

MS. Bonnie Peterson, LICSW

Individual provider Clinical Social Worker · NPI 1538124532

MS. Bonnie Peterson, LICSW is a Clinical Social Worker in Grand Forks, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2006.

Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
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

1451 44th Ave S
Grand Forks, ND 58201-3434
Phone: (701) 775-2500
Fax: (701) 787-8996
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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 2024 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11620 (MN)

Record details

NPI number1538124532
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESJuly 27, 2010

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