Individual provider · Type 1 NPI

David H. Petersen, LCSW

Clinical Social Worker · Ogden, UT

NPI number 1679764989 Active

Practice location

6112 S 1550 E
Ogden, UT 84405-5007

Mailing address

6112 S. 1550 E. Skyline Dr.
Ogden, UT 84405-5007

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108132-3501 (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 1679764989

David H. Petersen, LCSW's National Provider Identifier is 1679764989, issued on Aug 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ogden, UT. The record was last updated on Nov 2, 2016.