Individual provider · Type 1 NPI
Dax W. Peterson, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
24 M St
Salt Lake City, UT 84103-3840
Mailing address
3705 S Kimbary Way
Salt Lake City, UT 84109-4024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 7285972-3501 (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…
2 other providers at this address
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About NPI 1144585829
Dax W. Peterson, LCSW's National Provider Identifier is 1144585829, issued on Jul 10, 2012. 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 Jul 10, 2012.