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

Peter Jason Shanedling

Individual provider Clinical Social Worker · NPI 1104767474

Peter Jason Shanedling is a Clinical Social Worker in Saint Paul, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

360 Colborne St
Saint Paul, MN 55102-3228
Phone: (651) 744-7332
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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

Record details

NPI number1104767474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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