DAX W PETERSON LCSW
NPI 1144585829
Social Worker - Clinical in Salt Lake City, UT

Active since July 10, 2012
24 M ST, SALT LAKE CITY, UT 84103(801) 654-0862 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dax W Peterson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAX W PETERSON LCSW (NPI 1144585829) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (7285972-3501) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1144585829
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAX W PETERSONCredential: LCSW
Location Address24 M STSalt Lake City, UT 84103-3840
Mailing Address3705 S Kimbary WaySalt Lake City, UT 84109-4024 · (801) 654-0862
Sole ProprietorYes
Enumeration DateJuly 10, 2012
NPI 1144585829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 7285972-3501
Definition

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.

24 M ST, Salt Lake City, UT 84103

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
24 M ST
SALT LAKE CITY, UT 84103
Psychologist
24 M ST
SALT LAKE CITY, UT 84103

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 Dax Peterson's NPI number?

The NPI number for Dax Peterson is 1144585829. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Dax Peterson located?

Dax Peterson practices at 24 M St, Salt Lake City, UT 84103. The listed phone number is (801) 654-0862.

What is Dax Peterson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Dax Peterson was last updated on July 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.