SANDRA LUANN PETERSON (LICSW) – Clinical Social Worker, NPI 1053307025

SANDRA LUANN PETERSON (LICSW) is a healthcare provider. based in Thief river falls, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 4847 (MN). The NPI Number for SANDRA LUANN PETERSON (LICSW) is 1053307025

Main info

Female
Name
SANDRA LUANN PETERSON (LICSW)
NPI
1053307025
Phone
(218) 681-4240
Address
120 LABREE AVE S
Enumeration Date
23 September 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SANDRA LUANN PETERSON (LICSW)

  • Sanford Behavioral Health Center, 120, Labree Avenue South, Thief River Falls, Pennington County, Minnesota, 56701, United States

    NORTHWEST MEDICAL CENTER

    THIEF RIVER FALLS, MN 567012819

    Phone: (218) 681-4240

    Fax: (218) 681-5614

    Type: Location

  • 21078 115TH AVE NE

    THIEF RIVER FALLS, MN 567019313

    Phone: (218) 681-3658

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56701)

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Reviews

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Frequently asked questions

How do payers reference SANDRA LUANN PETERSON (LICSW)?
For SANDRA LUANN PETERSON (LICSW), use NPI 1053307025 as the unique 10-digit identifier.
Is SANDRA LUANN PETERSON (LICSW) shown as active in public data?
Registry records indicate SANDRA LUANN PETERSON (LICSW) maintains an active NPI.
What clinical focus is listed for SANDRA LUANN PETERSON (LICSW)?
At a glance, SANDRA LUANN PETERSON (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Minnesota is SANDRA LUANN PETERSON (LICSW) registered?
Use Thief River Falls, Minnesota as the headline location for SANDRA LUANN PETERSON (LICSW) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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