DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANDREW ROBERT PETERSON MSW, LICSW

MEDICARE: ANDREW ROBERT PETERSON MSW, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker21569MN

General Provider Information

NPI Number : 1073450953
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ROBERT PETERSON MSW, LICSW
Provider Business Mailing Address
First Line : 2540 COUNTY ROAD F E
Second Line :
City : WHITE BEAR TOWNSHIP
State : MN
Zip : 55110-3935
Country : US
Telephone Number : 651-415-5421
Fax Number :
Provider Business Practice Location Address
First Line : 70 COUNTY ROAD B2 W
Second Line :
City : LITTLE CANADA
State : MN
Zip : 55117-1402
Country : US
Telephone Number : 651-415-5421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2026
Last Update Date : 04/30/2026

Similar Medicare Providers

1265364392 — CLARA OLSON SLP-CCC
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5622
Practice Fax:
1881036952 — NICOLE PELLETTI VANOEVEREN CCC-SLP
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5413
Practice Fax:
1396371159 — ERIN WEATHERS MA, CF-SLP
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5458
Practice Fax:
1427715093 — MS. VIRGINIA ELIZABETH SUAREZ MSW, LICSW
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5513
Practice Fax:
1659212561 — MRS. CARA MARIE MCGLYNN
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5426
Practice Fax:
1982541868 — AMBER RUFF
Practice Location Address:
70 COUNTY ROAD B2 W
LITTLE CANADA, MN
55117-1402
Practice Phone: 651-415-5438
Practice Fax:

Directions to “ ANDREW ROBERT PETERSON MSW, LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.