Individual provider · Type 1 NPI

Kassandra Kay Peterson, MSW, LICSW

Clinical Social Worker · Anoka, MN

NPI number 1386961001 Active

Practice location

1833 3rd Ave
Anoka, MN 55303-5353

Call (651) 748-5019 Map

Fax (651) 773-7591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1386961001

Kassandra Kay Peterson, MSW, LICSW's National Provider Identifier is 1386961001, issued on Apr 21, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Anoka, MN. The record was last updated on Dec 11, 2019.