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MR. DAVID HEDDEN PETERSON LICSW
NPI 1104905272
Social Worker - Clinical in Alexandria, MN

Active since November 02, 2006
222 9TH AVE W, ALEXANDRIA, MN 56308(320) 763-3912(320) 763-6629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. David Hedden Peterson Licsw NPPES

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

MR. DAVID HEDDEN PETERSON LICSW (NPI 1104905272) is an individual clinical provider in Alexandria, Minnesota, licensed in Minnesota (LICSW#2185) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104905272
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID HEDDEN PETERSONCredential: LICSW
Location Address222 9TH AVE WAlexandria, MN 56308-2221
Mailing Address1304 12th St SeWillmar, MN 56201-5437 · (320) 894-3450 · Fax (320) 763-6629
Phone(320) 763-3912
Fax(320) 763-6629
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104905272 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 · LICSW#2185
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.
222 9TH AVE W, Alexandria, MN 56308
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Other Providers at the Same Location NPPES 16

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

CHERYL ANN LEWIS LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 491-8036
MRS. RITA MARIE CANNONWOLF B.A, T-ADC
Substance Abuse Rehabilitation Facility
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
JULIE ANN HOOK
Licensed Practical Nurse
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
KIMBERLY WILKINS LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
JAMES MONSON LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
NEW VISIONS CENTER
Substance Abuse Rehabilitation Facility
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
DOUG PAULSON LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
KANDICE LARAY GORRES LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912

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 David Peterson's NPI number?

The NPI number for David Peterson is 1104905272. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is David Peterson located?

David Peterson practices at 222 9th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-3912.

What is David 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 David Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.