Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kassandra Kay Peterson, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1386961001

Kassandra Kay Peterson, MSW, LICSW is a Mental Health Counselor in Anoka, Minnesota. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1833 3rd Ave
Anoka, MN 55303-5353
Phone: (651) 748-5019
Fax: (651) 773-7591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1386961001
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019

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