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NIKITA PETERSEN LCSW
NPI 1477032779
Social Worker - Clinical in Layton, UT

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
934 S MAIN ST, LAYTON, UT 84041(801) 773-7060 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Oct 11, 2022, Aug 8, 2018 (3 updates tracked since 2018).

About Nikita Petersen Lcsw NPPES

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

NIKITA PETERSEN LCSW (NPI 1477032779) is an individual clinical provider in Layton, Utah, licensed in Utah (12755333-3501) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477032779
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNIKITA PETERSENCredential: LCSW
Location Address934 S MAIN STLayton, UT 84041-7135
Mailing Address934 S Main StLayton, UT 84041-7135 · (801) 773-7060
Phone(801) 773-7060
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 8, 2018
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1477032779 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 · 12755333-3501
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.
934 S MAIN ST, Layton, UT 84041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikita Petersen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789101957
PECOS Enrollment IDI20250512000336
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TREVOR CRAIG SAVAGE
Technician, Other
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 546-1168
GREG MOSS
Technician, Other
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-7060
KELLEY DIANE IRMEN
Social Worker (Clinical)
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-7060
JASON ADAMS
Community Health Worker
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-3060
KELSEE WANDLING
Technician, Other
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-7060
MICHAEL M LEBARON
Case Manager/Care Coordinator
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-7060
NATALIE JO COLVIN
Case Manager/Care Coordinator
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 773-7060
ROBERT SAMUEL CLARK
Community Health Worker
934 S MAIN ST
LAYTON, UT 84041
Davis County (801) 336-1845

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 Nikita Petersen's NPI number?

The NPI number for Nikita Petersen is 1477032779. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Nikita Petersen located?

Nikita Petersen practices at 934 S Main St, Layton, UT 84041. The listed phone number is (801) 773-7060.

What is Nikita Petersen's specialty?

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

Is Nikita Petersen enrolled in Medicare?

Yes. Nikita Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nikita Petersen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Nikita Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nikita Petersen was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.