Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. David Hedden Peterson, LICSW

Individual provider Clinical Social Worker · NPI 1104905272

Mr. David Hedden Peterson, LICSW is a Clinical Social Worker in Alexandria, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
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

222 9th Ave W
Alexandria, MN 56308-2221
Phone: (320) 763-3912
Fax: (320) 763-6629
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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 · Licence LICSW#2185 (MN)

Record details

NPI number1104905272
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007

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