KASSANDRA KAY PETERSON (MSW, LICSW) – Clinical Social Worker, NPI 1386961001

KASSANDRA KAY PETERSON (MSW, LICSW) is a healthcare provider. based in Anoka, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials MSW, LICSW. The NPI Number for KASSANDRA KAY PETERSON (MSW, LICSW) is 1386961001

Main info

Female
Name
KASSANDRA KAY PETERSON (MSW, LICSW)
NPI
1386961001
Phone
(763) 421-5535
Address
1833 3RD AVE
Enumeration Date
21 April 2010
Last Update Date
11 December 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for KASSANDRA KAY PETERSON (MSW, LICSW)

  • 1833 3RD AVE

    ANOKA, MN 553032424

    Phone: (763) 421-5535

    Fax: (763) 433-0226

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 55303)

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Frequently asked questions

What is the 10-digit NPI for KASSANDRA KAY PETERSON (MSW, LICSW)?
KASSANDRA KAY PETERSON (MSW, LICSW) — NPI 1386961001 — is the standard way to identify this listing.
Can I rely on KASSANDRA KAY PETERSON (MSW, LICSW) being an active provider?
As of the registry snapshot, KASSANDRA KAY PETERSON (MSW, LICSW) is marked active.
What is KASSANDRA KAY PETERSON (MSW, LICSW)'s primary classification?
Clinical Social Worker is the headline specialty for KASSANDRA KAY PETERSON (MSW, LICSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for KASSANDRA KAY PETERSON (MSW, LICSW)?
KASSANDRA KAY PETERSON (MSW, LICSW)'s geographic hint is Anoka, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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