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

Peter O'Malia, LICSW

Individual provider Clinical Social Worker · NPI 1326893587

Peter O'Malia, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

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

4421 14th Ave S
Minneapolis, MN 55407-3642
Phone: (626) 221-2208
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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 22644 (MN)

Record details

NPI number1326893587
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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