Individual provider · Type 1 NPI

David Hedden Peterson, LICSW

Clinical Social Worker · Alexandria, MN

NPI number 1104905272 Active

Practice location

222 9th Ave W
Alexandria, MN 56308-2221

Call (320) 763-3912 Map

Fax (320) 763-6629

Mailing address

1304 12th St SE
Willmar, MN 56201-5437

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLICSW#2185 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104905272

David Hedden Peterson, LICSW's National Provider Identifier is 1104905272, issued on Nov 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alexandria, MN. The record was last updated on Jul 8, 2007.