Individual provider · Type 1 NPI

Mariah Peterson, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1043443617 Active

Practice location

2150 S 1300 E
Salt Lake City, UT 84106-4333

Mailing address

455 S 700 E Unit 4213
Salt Lake City, UT 84102-3884

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1478 (CO)
Clinical Social Worker Primary 1041C0700X10509741-3501 (UT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043443617

Mariah Peterson, LCSW's National Provider Identifier is 1043443617, issued on Aug 31, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 7, 2022.