Cori Christina Boehm-Peterson, LICSW
NPI 1376856518ActiveIndividual· Counselor, Mental Health· Richfield, MN
Counselor, Mental Health (LICSW) with Affinity Psychological Services PC, practicing in Richfield, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1376856518 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jul 16, 2010 |
| Last updated in NPPES | Oct 25, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 14296 | MN |
| Social Worker, Clinical | 1041C0700X | 14296 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Affinity Psychological Services PCSaint Cloud, MN · 69 clinicians
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