SearchMinnesotaClinical Social Worker

David Peterson, LICSW

NPI 1104905272 · on the registry since 2006

Practice

Address
222 9th Ave W
Alexandria, MN 56308
Phone
(320) 763-3912
Fax
(320) 763-6629
Organisation at this address
New Visions Center
Thrive Behavioral Network Iv, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota