MR. DAVID HEDDEN PETERSON (LICSW) – Clinical Social Worker, NPI 1104905272

MR. DAVID HEDDEN PETERSON (LICSW) is a healthcare provider. based in Alexandria, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. LICSW#2185 (MN). The NPI Number for MR. DAVID HEDDEN PETERSON (LICSW) is 1104905272

Main info

Male
Name
MR. DAVID HEDDEN PETERSON (LICSW)
NPI
1104905272
Phone
(320) 763-3912
Address
222 9TH AVE W
Enumeration Date
2 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DAVID HEDDEN PETERSON (LICSW)

  • 222, 9th Avenue West, Alexandria, Douglas County, Minnesota, 56308, United States

    ALEXANDRIA, MN 563082221

    Phone: (320) 763-3912

    Fax: (320) 763-6629

    Type: Location

  • 1304, 12th Street Southeast, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562015437

    Phone: (320) 894-3450

    Fax: (320) 763-6629

    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

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 56308)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. DAVID HEDDEN PETERSON (LICSW)?
NPI 1104905272 is assigned to MR. DAVID HEDDEN PETERSON (LICSW) under the national enumeration system.
Is MR. DAVID HEDDEN PETERSON (LICSW) currently active in the NPI registry?
CMS-published data lists MR. DAVID HEDDEN PETERSON (LICSW) as an active registrant.
What field does MR. DAVID HEDDEN PETERSON (LICSW) work in?
You can think of MR. DAVID HEDDEN PETERSON (LICSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. DAVID HEDDEN PETERSON (LICSW)?
The page summarizes Alexandria, Minnesota for MR. DAVID HEDDEN PETERSON (LICSW); expand the address list for detail.
What if Alexandria, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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