Casey Brian Petersen, LCSW - Clinical Social Worker in Salt Lake City, UT

Casey Brian Petersen, LCSW is a Social Worker - Clinical based in Salt Lake City, Utah. Casey Brian Petersen is licensed to practice in Utah (license number 7392336-3501) and his current practice location is 50 N Medical Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 581-2121.

NPI number for Casey Brian Petersen is 1114431772 and his current mailing address is 11656 S Oakmond Rd, South Jordan, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114431772.

Contact Information

Casey Brian Petersen, LCSW
50 N Medical Dr,
Salt Lake City, UT 84132-0001
(801) 581-2121
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCasey Brian Petersen
GenderMale
SpecialitySocial Worker - Clinical
Location50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114431772
  • Provider Enumeration Date: 11/18/2017
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Casey Brian Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114431772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7392336-3501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Casey Brian Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Casey Brian Petersen, LCSW
11656 S Oakmond Rd,
South Jordan, UT 84009-5049

Ph: (801) 643-3332
Casey Brian Petersen, LCSW
50 N Medical Dr,
Salt Lake City, UT 84132-0001

Ph: (801) 581-2121

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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