Maija Peterfeso, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15050 Issued in MN

Practice address

1197 Grand Ave
Saint Paul, MN 55105-2634

Phone

(763) 703-4215

Fax

(877) 775-3306

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stacia Hanson Ma LP LLCGroup PAC ID 2769828706, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stacia Hanson Ma LP LLC

  • Psychologist
  • Edina, MN
  • NPI 1871867549
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1104626167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 317",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354469",
            "telephone_number": "763-703-4215",
            "fax_number": "877-775-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634",
            "telephone_number": "763-703-4215",
            "fax_number": "877-775-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERFESO",
        "first_name": "MAIJA",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Pertzsch, MA
• Eva Pesch, MD
• Madeleine Pesch, MD
• Peter N Cannon DDS PA
• Linda Rae Peter, PA-C
• Bailey Rose Peterka, RD
• Jodi L Peterman, CRNA
• Caidyn Angeline Peters
• Jiani Peters
• Mya Lyn Peters

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.