IndividualActive
Andrea Petersen, MSW
NPI 1093163743 · Social Worker · Beaver Dam, WI
Provider details
- NPI number
- 1093163743
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
103 Caroline Ct
Beaver Dam, WI 53916-1833
Phone: (608) 577-3879
Approximate (ZIP-level) locationGet directions
Mailing address
103 Caroline Ct
Beaver Dam, WI 53916-1833
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2016-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.