CASEY BRIAN PETERSEN LCSW
NPI 1114431772
Social Worker - Clinical in Salt Lake City, UT
About Casey Brian Petersen Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASEY BRIAN PETERSEN LCSW (NPI 1114431772) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (7392336-3501) and active in the NPI registry since November 2017. He has opted out of Medicare through November 26, 2026 and remains eligible to order and refer and maintains a secondary practice location in Sandy.
NPPES Registry Identity
Specialties & Licenses
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Casey Brian Petersen Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 26, 2018 through November 26, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Casey Petersen's NPI number?
The NPI number for Casey Petersen is 1114431772. It was assigned to this individual provider in the NPPES registry on November 18, 2017.
Where is Casey Petersen located?
Casey Petersen practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.
What is Casey Petersen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Casey Petersen enrolled in Medicare?
No. Casey Petersen has opted out of Medicare through November 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Casey Petersen was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.
