MEDICARE: SARAH PELTIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1497683585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PELTIER

Provider Business Mailing Address
First Line	:	9701 NICOLLET AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-4448
Country	:	US
Telephone Number	:	952-681-5077
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 NICOLLET AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-4448
Country	:	US
Telephone Number	:	952-681-5077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ SARAH PELTIER ” Practice Location

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