Individual provider · Type 1 NPI

Myranda Peterson, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1851087589 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Call (801) 582-1565 Map

Mailing address

7256 W Afterglow Ln
West Valley City, UT 84081-1204

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12247068-3501 (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 1851087589

Myranda Peterson, LCSW's National Provider Identifier is 1851087589, issued on Apr 14, 2023. 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 Apr 14, 2023.