ANDREW ROBERT PETERSON MSW, LICSW
NPI 1073450953
Social Worker - Clinical in Little Canada, MN

Active since April 30, 2026
70 COUNTY ROAD B2 W, LITTLE CANADA, MN 55117(651) 415-5421 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Robert Peterson Msw, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW ROBERT PETERSON MSW, LICSW (NPI 1073450953) is an individual clinical provider in Little Canada, Minnesota, licensed in Minnesota (21569) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073450953
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDREW ROBERT PETERSONCredential: MSW, LICSW
Location Address70 COUNTY ROAD B2 WLittle Canada, MN 55117-1402
Mailing Address2540 County Road F EWhite Bear Township, MN 55110-3935 · (651) 415-5421
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1073450953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 21569
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
70 COUNTY ROAD B2 W, Little Canada, MN 55117

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Speech-Language Pathologist
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Speech-Language Pathologist
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Social Worker (Clinical)
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Speech-Language Pathologist
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Social Worker (Clinical)
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Social Worker (Clinical)
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117
Social Worker (Clinical)
70 COUNTY ROAD B2 W
LITTLE CANADA, MN 55117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Peterson's NPI number?

The NPI number for Andrew Peterson is 1073450953. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Andrew Peterson located?

Andrew Peterson practices at 70 County Road B2 W, Little Canada, MN 55117. The listed phone number is (651) 415-5421.

What is Andrew Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Andrew Peterson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.