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

Tara Peterson, LICSW, LADC

Individual provider Clinical Social Worker · NPI 1437027620

Tara Peterson, LICSW, LADC is a Clinical Social Worker in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3400 W 66th St Ste 400
Edina, MN 55435-2134
Phone: (952) 914-1701
Fax: (952) 914-1708
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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 31350 (MN)

Record details

NPI number1437027620
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LADC
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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