Individual provider · Type 1 NPI

Heidi Petersen

Clinical Social Worker · Syracuse, UT

NPI number 1760066005 Active

Practice location

1747 Heritage Ln Ste B101
Syracuse, UT 84075-8546

Call (385) 439-1926 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11782403-3502 (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 1760066005

Heidi Petersen's National Provider Identifier is 1760066005, issued on May 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, UT. The record was last updated on May 12, 2021.