1. Home
  2. Directory
  3. Minnesota
  4. Anoka
  5. Social Worker
  6. NPI Profile

KASSANDRA KAY PETERSON MSW, LICSW
NPI 1386961001
Social Worker - Clinical in Anoka, MN

Active since April 21, 2010
1833 3RD AVE, ANOKA, MN 55303(651) 748-5019(651) 773-7591 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kassandra Kay Peterson Msw, Licsw NPPES

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

KASSANDRA KAY PETERSON MSW, LICSW (NPI 1386961001) is an individual clinical provider in Anoka, Minnesota and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1386961001
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASSANDRA KAY PETERSONCredential: MSW, LICSW
Location Address1833 3RD AVEAnoka, MN 55303-5353
Mailing Address1833 3rd AveAnoka, MN 55303-2424 · (763) 421-5535 · Fax (763) 433-0226
Phone(651) 748-5019
Fax(651) 773-7591
Sole ProprietorNo
Enumeration DateApril 21, 2010
Last NPPES UpdateDecember 11, 2019
✔ NPI 1386961001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1833 3RD AVE, Anoka, MN 55303
Open in Google Maps ↗

Other Names 1

Former Name (1)Kassandra Dallmann

Other Identifiers 1

Medicaid1386961001MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 20

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

PHAKOUEW YACHAI YANG BA
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (612) 924-3807
MARGARET SUSAN PFAU LMFT
Marriage & Family Therapist
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 421-5535
KAYLA CLINT LMFT
Marriage & Family Therapist
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 344-4456
JENELLE PANGBORN
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 421-5535
BETHANY RUTH GLINES M.A., LPCC
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 421-5535
RACHEL LYNN LAIDLAW
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 421-5535
FATUMA K PETERSON
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (763) 421-5535
MADISON PROSS
Counselor (Mental Health)
1833 3RD AVE
ANOKA, MN 55303
Anoka County (651) 421-5535

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 Kassandra Peterson's NPI number?

The NPI number for Kassandra Peterson is 1386961001. It was assigned to this individual provider in the NPPES registry on April 21, 2010. The provider is also known as Kassandra Dallmann.

Where is Kassandra Peterson located?

Kassandra Peterson practices at 1833 3rd Ave, Anoka, MN 55303. The listed phone number is (651) 748-5019.

What is Kassandra Peterson's specialty?

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

What insurance does Kassandra Peterson accept?

Health plans from HealthPartners list Kassandra Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassandra Peterson was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.