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

MS. Mata Marie Peterson, LSW, LADC

Individual provider Social Worker · NPI 1710320890

MS. Mata Marie Peterson, LSW, LADC is a Social Worker in Breckenridge, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

227 6th St N
Breckenridge, MN 56520-1503
Phone: (701) 640-8915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 St. Francis Drive, Breckenridge, MN 56520-1802 — (218) 643-3000

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 301596 (MN)
Social Worker Taxonomy 104100000X · Licence 15452 (MN)

Record details

NPI number1710320890
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , LADC
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020

Other providers in Breckenridge