Kristin Petersen
NPI 1710422779 · Clinical Social Worker · White Earth, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Petersen is a Clinical Social Worker provider in White Earth, MN (NPI 1710422779).
Provider details
- NPI number
- 1710422779
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21218 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-30
- Last updated
- 2016-12-30
Frequently asked questions
- What is Kristin Petersen's NPI number?
- Kristin Petersen's National Provider Identifier (NPI) is 1710422779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Petersen's specialty?
- Kristin Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kristin Petersen located?
- Kristin Petersen's practice location on file with NPPES is 26246 Crane Rd, White Earth, MN 56591-9998.
- What is Kristin Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kristin Petersen is (218) 983-4703.
- Does Kristin Petersen accept Medicare?
- Kristin Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Petersen's NPI active?
- Yes — Kristin Petersen's NPI (1710422779) is active in the NPPES registry as of the last update on 2016-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.