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

Individual provider Clinical Social Worker · NPI 1598146094

Peggy McNicholes, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2008, 18 years ago. Practices with Danielle Golden, CRNA, PA, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2015
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

3100 W Lake St Ste 210
Minneapolis, MN 55416-4527
Phone: (612) 925-6033
Fax: (612) 217-0661
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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 10735 (MN)

Record details

NPI number1598146094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESJune 11, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Danielle Golden, Crna, Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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