MR. PAUL JOSEPH PETERSON MSW
NPI 1528114667
Social Worker in Bountiful, UT

Q: What is Paul Peterson's NPI number?

The NPI number for Paul Peterson is 1528114667. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Paul Peterson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Peterson was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since January 25, 2007PECOS Enrolled

1459 N MAIN ST STE 100, BOUNTIFUL, UT 84010(801) 298-2000(801) 951-1490 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Oct 14, 2020, Mar 21, 2019 (3 updates tracked since 2019).

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About Mr. Paul Joseph Peterson Msw NPPES

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

MR. PAUL JOSEPH PETERSON MSW (NPI 1528114667) is an individual social worker in Bountiful, Utah, licensed in Utah (5388245-3501) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528114667

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. PAUL JOSEPH PETERSONCredential: MSW

Location Address1459 N MAIN ST STE 100Bountiful, UT 84010-6092

Mailing Address1459 N Main St Ste 100Bountiful, UT 84010-6092 · (801) 298-2000 · Fax (801) 951-1490

Phone(801) 298-2000

Fax(801) 951-1490

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1528114667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in UT · 5388245-3501

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 5388245-3501 (UT)

1459 N MAIN ST STE 100, Bountiful, UT 84010

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Joseph Peterson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

HANNAH MELELANI MYERS JOHNSON MA

Psychologist (Clinical)