MR. MICHAEL RAY PETERSON


Address: 2021 E Hennepin Ave, Suite 100, Minneapolis, MN 55413-2700
Phone: 6122591701

MR. MICHAEL RAY PETERSON (NPI# 1356430342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356430342
Entity Type Individual
Full Name MR. MICHAEL RAY PETERSON
Credential LICSW
Practice Address 2021 E Hennepin Ave
Suite 100
Minneapolis
MN 55413-2700
Mailing Address 7244 York Ave S
Apartment 426
Edina
MN 55435-4455
Practice Telephone 6122591701
Mailing Telephone 9528932659
Enumeration Date 2006-10-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
9246 MN Behavioral Health & Social Service Providers

Other Providers MICHAEL PETERSON

NPI Name Taxonomy Address Enumeration
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1548715634 Michael Latrae Peterson Social Worker 6767 W Windmill Ln, Las Vegas, NV 89139-6501 2016-08-18
1033544119 Michael Robert Peterson Counselor 522 4th St S, Stillwater, MN 55082-4966 2013-09-09
1750651113 Michael Peterson Social Worker 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 2012-01-03
1578848131 Michael Dean Peterson Dentist 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 2011-10-14
1467693119 Michael Lamont Peterson Registered Nurse 13 Hollister St, Rochester, NY 14605-1401 2009-03-10
1003062001 Michael Carl Peterson Physical Therapist 2850 Mitchell Rd, Jamestown, NY 14701-8906 2008-08-11
1942472691 Michael E Peterson Dentist 5355 W State St, Boise, ID 83703-3333 2008-04-01
1134325145 Michael W Peterson Dentist 1319 Tennessee St, Vallejo, CA 94590 2007-06-26
1609079094 Michael Gene Peterson Emergency Medicine 201 E. Nicollet Blvd., Burnsville, MN 55337 2007-06-06

Office Location

Street Address 2021 E HENNEPIN AVE
SUITE 100
City MINNEAPOLIS
State MN
Zip Code 55413-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699774521 Minnesota Age and Opportunity Home Health 2021 E Hennepin Ave, Suite 200, Minneapolis, MN 55413-2700 2005-07-21
1184260465 Brightcare Services Inc Assisted Living Facility 2021 E Hennepin Ave, Suite 200-3, Minneapolis, MN 55413-5541 2019-11-21
1568904654 South Metro Human Services- Fact Case Management 2021 E Hennepin Ave, Suite 250, Minneapolis, MN 55413-2700 2016-11-07
1932576691 Abdurazak Hirsi Interpreter 2021 E Hennepin Ave, Suite 402-5, Minneapolis, MN 55413-2700 2015-08-28
1841667409 Universal Language Network Interpreter 2021 E Hennepin Ave, Minneapolis, MN 55413-2700 2015-08-28
1023289808 Andrew B Kiel Social Worker 2021 E Hennepin Ave, Minneapolis, MN 55413-2700 2008-03-19
1326219106 Karen Sue Krueger Slaght Social Worker 2021 E Hennepin Ave, Suite 100, Minneapolis, MN 55413-2700 2008-03-19
1023216108 Frances Nelson Lesicko Psychologist 2021 E Hennepin Ave, Minneapolis, MN 55413-2700 2007-07-10
1871664722 South Metro Human Services Dba Radias Health Case Management 2021 E Hennepin Ave, Suite 330, Minneapolis, MN 55413-2700 2006-11-13
1033205174 Katie Suzanne Perzel Social Worker 2021 E Hennepin Ave, Minneapolis, MN 55413-2700 2006-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295372274 Alysia R Schwartz Counselor 2155 E Hennepin Ave, Minneapolis, MN 55413 2019-12-09
1427609304 Lingguang Liu Acupuncturist 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 2019-09-23
1437708617 Dream Home Health Care Inc Home Health 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 2019-09-10
1831746536 Aline Care Case Management 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 2019-08-19
1073171534 Relate Nutrition & Therapy Dietitian, Registered 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 2019-05-30
1740703461 Emily Rudert Counselor 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 2017-07-25
1316305485 Capital Transportation LLC Non-emergency Medical Transport (VAN) 34 13th Ave Ne #b004, Minneapolis, MN 55413 2016-02-04
1861819989 Traditionally Healthy Chiropractor 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 2014-03-26
1588000871 Aztec's Transportation and Home-care LLC Non-emergency Medical Transport (VAN) 843 Summer St Ne #2, Minneapolis, MN 55413 2013-05-14
1114285418 Best Care Transportation Non-emergency Medical Transport (VAN) 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 2012-04-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811597784 Nadia Sullivan Social Worker 250 S 4th St # 510, Minneapolis, MN 55415-1321 2020-10-29
1972102580 Grace Christine Haugen Social Worker 3408 18th Ave S, Minneapolis, MN 55407-2779 2020-10-23
1629677422 Tracy Flanagan Lewis Social Worker 410 E 48th St # 5, Minneapolis, MN 55419-5651 2020-10-22
1093312985 Concord Psychotherapy Inc. Social Worker 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 2020-10-05
1376167056 Jennifer Hooyman Social Worker 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 2020-05-29
1649893777 Sarah Slathar Social Worker 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 2020-05-23
1811510332 Madison Keel Peton Social Worker 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 2020-05-19
1538789474 Mackenzie Landbloom Social Worker 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 2020-04-21
1568090462 Paul Samuel Schuster Social Worker 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 2020-03-28
1053947077 Natalie Jean Taber Social Worker 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 2020-03-21
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55413

Improve Information

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Dataset Information

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.

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