Individual provider · Type 1 NPI

Tyler Rolland Petersen, CSW

Clinical Social Worker · Herriman, UT

NPI number 1770960452 Active

Practice location

13351 S Shaunna Lane
Herriman, UT 84096

Call (801) 915-6055 Map

Mailing address

13351 S Shaunna Ln
Herriman, UT 84096-4706

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	5919098-3502 (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 1770960452

Tyler Rolland Petersen, CSW's National Provider Identifier is 1770960452, issued on May 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Herriman, UT. The record was last updated on May 1, 2015.