MR. DAVID HEDDEN PETERSON (NPI# 1104905272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104905272 |
Entity Type | Individual |
Full Name | MR. DAVID HEDDEN PETERSON |
Credential | LICSW |
Practice Address |
222 9th Ave W Alexandria MN 56308-2221 |
Mailing Address |
1304 12th St Se Willmar MN 56201-5437 |
Practice Telephone | 3207633912 |
Practice Fax Number | 3207636629 |
Mailing Telephone | 3208943450 |
Mailing Fax Number | 3207636629 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LICSW#2185 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
1386070647 | David Michael Peterson | Pharmacist | 1200 W Gold St, Butte, MT 59701-2110 | 2013-09-18 |
1427336601 | David James Peterson | Physical Therapist | 59 Akea Pl, Kula, HI 96790-8501 | 2011-07-22 |
1386858942 | David Brian Peterson | Psychologist | 460 Oak St, Apt 115, Glendale, CA 91204-1265 | 2007-05-10 |
1851412241 | David Peterson | Chiropractor | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | 2007-04-03 |
1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
1932284031 | David Donald Peterson | Counselor | 318 E Main St # 106, Battle Ground, WA 98604-8508 | 2006-10-26 |
1841398336 | David Donald Peterson | Chiropractor | 2516 7th Ave E, Saint Paul, MN 55109-3003 | 2006-09-20 |
Street Address |
222 9TH AVE W |
City | ALEXANDRIA |
State | MN |
Zip Code | 56308-2221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033776737 | Kari Gritz | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2019-05-29 |
1124685862 | Kimberly Wilkins | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2019-05-28 |
1306305339 | Kandice Laray Gorres | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2019-03-19 |
1427576446 | Christopher Walter Anderson | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2017-08-30 |
1982125506 | James Robert Vener | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2017-07-05 |
1659727386 | Walter Alex Gribas | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2016-05-12 |
1164895124 | Thomas Hertzog | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2015-11-12 |
1548665573 | April Mia Vaniseghem | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-11-04 |
1578968277 | Michael Ray Klein | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-10-24 |
1265835367 | Doug Paulson | Counselor | 222 9th Ave W, Alexandria, MN 56308-2221 | 2014-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
Find all providers in zip 56308 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426220 | Marcia E Johnson | Social Worker | 1469 S Highview Ln Apt 104, Alexandria, VA 22311-2313 | 2020-10-28 |
1194339978 | Jessica Marie Drake | Social Worker | 1721 Braddock Pl, Alexandria, VA 22302-2633 | 2020-08-31 |
1114535507 | Rebecca Loesberg | Social Worker | 1513 Crestwood Dr, Alexandria, VA 22302-2303 | 2020-07-21 |
1427687920 | Amanda Morales | Social Worker | 218 N Lee St Ste 303, Alexandria, VA 22314-2631 | 2020-04-06 |
1871122648 | Jennifer Marie Greene | Social Worker | 1503 Russell Rd, Alexandria, VA 22301-2052 | 2020-04-03 |
1992342869 | Brittany D Egan | Social Worker | 5021 Seminary Rd Apt 916, Alexandria, VA 22311-1934 | 2019-12-10 |
1114564887 | Derek Morch Lcsw LLC | Social Worker | 709 Pendleton St Ste 201, Alexandria, VA 22314-1820 | 2019-12-02 |
1386289080 | Christina Huie | Social Worker | 8350 Richmond Hwy Ste 515, Alexandria, VA 22309-2345 | 2019-11-18 |
1023668167 | Danny Hyungmin Kim | Social Worker | 4401 Ford Ave Ste 103, Alexandria, VA 22302-1464 | 2019-09-19 |
1346899580 | Erik Larson | Social Worker | 702 34th Ave E, Alexandria, MN 56308-2599 | 2019-09-10 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 56308 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.