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

Nancy Carolyn Peterson, LICSW

Individual provider Clinical Social Worker · NPI 1164241410

Nancy Carolyn Peterson, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024
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

600 S 6th St
Minneapolis, MN 55487-0087
Phone: (612) 596-8219
Fax: (612) 348-4039
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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 21844 (MN)

Record details

NPI number1164241410
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 4, 2024
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

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