Kassandra Kay Peterson, MSW, LICSW is a
Social Worker - Clinical based in Anoka, Minnesota. Kassandra Kay Peterson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1833 3rd Ave, Anoka, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 748-5019.
NPI number for Kassandra Kay Peterson is 1386961001 and her current mailing address is 1833 3rd Ave, Anoka, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386961001.
Healthcare Provider's Profile
| Full Name | Kassandra Kay Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1833 3rd Ave, Anoka, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386961001
- Provider Enumeration Date: 04/21/2010
- Last Update Date: 12/11/2019
Medical Identifiers
Medical identifiers for Kassandra Kay Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386961001 | NPI | - | NPPES |
| 1386961001 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kassandra Kay Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kassandra Kay Peterson, MSW, LICSW
1833 3rd Ave,
Anoka, MN 55303-2424
Ph: (763) 421-5535 | Kassandra Kay Peterson, MSW, LICSW
1833 3rd Ave,
Anoka, MN 55303-5353
Ph: (651) 748-5019 |
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