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

Sandra Luann Peterson, LICSW

Individual provider Clinical Social Worker · NPI 1053307025

Sandra Luann Peterson, LICSW is a Clinical Social Worker in Thief River Falls, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

120 Labree Ave S Northwest Medical Ctr
Thief River Falls, MN 56701-2819
Phone: (218) 681-4240
Fax: (218) 681-5614
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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 4847 (MN)

Record details

NPI number1053307025
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJuly 13, 2026

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