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

Active since January 25, 2007Opted out of Medicare · through Jul 1, 2028
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: September 27, 2026.

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

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 has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in South Jordan.

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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Secondary Practice Location 1

Location 111260 S RIVER HEIGHTS DRIVESOUTH JORDAN, UT 84095 · Phone (801) 298-2000 · Fax (801) 951-1490

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Paul Joseph Peterson Msw 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 July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
PAULA THOMPSON
Social Worker (Clinical)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
OLIVIA IVY WARD CSW
Social Worker (Clinical)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
SARAH ASHCROFT RICHARDS ACMHC
Counselor (Mental Health)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (866) 353-2550
JOSIE KAY HALEY
Social Worker (Clinical)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
BROOKIE HEWES
Counselor (Mental Health)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
CAITLYNNE BROBST
Social Worker (Clinical)
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000
THE OCD AND ANXIETY TREATMENT CENTER
Community/Behavioral Health
1459 N MAIN ST STE 100
BOUNTIFUL, UT 84010
Davis County (801) 298-2000

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 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.

Where is Paul Peterson located?

Paul Peterson practices at 1459 N Main St Ste 100, Bountiful, UT 84010. The listed phone number is (801) 298-2000.

What is Paul Peterson's specialty?

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

Is Paul Peterson enrolled in Medicare?

No. Paul Peterson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

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 2 years 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.