Katherine Mary-Hanton Peitersen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14270 Issued in MN

Practice address

9555 Lakewood Cir
Chaska, MN 55318-9369

Phone

(952) 607-7467

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1316730567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 LAKEWOOD CIR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553189369",
            "telephone_number": "952-607-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 LAKEWOOD CIR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553189369",
            "telephone_number": "952-607-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEITERSEN",
        "first_name": "KATHERINE",
        "middle_name": "MARY-HANTON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chaska, MN
• Providers in Chaska, 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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.