Individual provider · Type 1 NPI

Casey Brian Petersen, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1114431772 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Call (801) 581-2121 Map

Mailing address

11656 S Oakmond Rd
South Jordan, UT 84009-5049

Other practice locations

  • 833 E 9400 S, Sandy, UT 84094-3655 · (801) 566-2556

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7392336-3501 (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 1114431772

Casey Brian Petersen, LCSW's National Provider Identifier is 1114431772, issued on Nov 18, 2017. 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 Mar 17, 2018.