Kristin Petersen
Clinical Social Worker · White Earth, MN
Kristin Petersen is a clinical social worker with a practice address in White Earth, Minnesota, and NPI 1710422779, issued on Dec 30, 2016. Check the license (Minnesota 21218, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kristin Petersen
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 21218 MN
Self-reported in NPPES; status is on the state search - Practice location
- 26246 Crane RD, White Earth, MN 56591
- Phone
- (218) 983-4703
- Enumerated
- Dec 30, 2016
- Record last updated
- Dec 30, 2016 (not updated in 10 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20260129002976); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Also registered at 26246 Crane RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Beverly Anderson, LPCC, LADCMental Health Counselor1346975364
- Grant Atwood, MS, LPCCMental Health Counselor1144752056
- Tina Heisler, M.S., L.P.Psychologist1649469529
- Katie Hoban, RDN, LDRegistered Dietitian1750999488
- Jacqueline Jacobson, LPCCMental Health Counselor1477400398
- Sarah Jasken, M.S.W; LICSWClinical Social Worker1255617684
Verify Kristin Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 21218Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kristin Petersen among 6,609 clinical social worker records in Minnesota
Kristin Petersen is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 42% of them.
- NPI issued2016 · 42% of these records are older, 53% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2012 · median 2014 among the 2,023 with a school on file
- Record last updated2016 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 clinical social worker records list a practice address in White Earth
They are 8 of the 22 NPPES records with a practice address in White Earth, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,609 in Minnesota → Every provider in White Earth → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Byllie Jean Beck, LICSWWhite Earth, MN 565911699369686
- Angela Bellanger, LICSWWhite Earth, MN 565911881883890
- Katy Braaten, LICSWWhite Earth, MN 565911841005568
- Sarah Jasken, M.S.W; LICSWWhite Earth, MN 565911255617684
- Nancy SamuraWhite Earth, MN 565911962272112
- Sean Simpson, LGSWWhite Earth, MN 565911215382320
- Judy Simpson, LICSWWhite Earth, MN 565911073384558
- Vanessa Johnson, MSWWaubun, MN 565891245165612
Common questions
What is Kristin Petersen's NPI number?
Kristin Petersen's National Provider Identifier (NPI) is 1710422779, issued on Dec 30, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Kristin Petersen located?
The NPPES record lists a practice address at 26246 Crane RD, White Earth, MN, 56591. Phone: (218) 983-4703. Providers update this record themselves, so call before visiting.
How can I verify Kristin Petersen's license?
NPPES lists Minnesota license number 21218, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.