Joy Marie Petermann, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14968 Issued in MN

Practice address

5353 Wayzata Blvd Ste 202
St Louis Park, MN 55416-1316

Phone

(763) 432-4072

Fax

(763) 432-4073

NPI assigned

May 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 3, 2026 through Apr 3, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Generations Community Support Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • W St Paul, MN
  • NPI 1861440919
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1366491466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161316",
            "telephone_number": "763-432-4072",
            "fax_number": "763-432-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161316",
            "telephone_number": "763-432-4072",
            "fax_number": "763-432-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMANN",
        "first_name": "JOY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADI",
            "identifier": "712687500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perspectives, Inc.
• Perspectives, Inc.
• Cindy L Persson
• Christina Michelle Pesonen, APRN, CNP
• Kathleen S Peter
• Amanda Leigh Peters, PT
• Samantha Macy Peters
• Ann S Petersen, PHARMD.
• Carol Ann Petersen, LICSW
• Jon Walter Petersen, MA, M.ED, LPCC, CMHC

• Clinical Social Worker in St Louis Park, MN
• Providers in St Louis Park, 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 Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.