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KALLIE PETERSEN LCSW
NPI 1548959968
Social Worker - Clinical in Salt Lake City, UT

Active since May 02, 2023
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 828-6150 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kallie Petersen Lcsw NPPES

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

KALLIE PETERSEN LCSW (NPI 1548959968) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (8533533-3501) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1548959968
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKALLIE PETERSENCredential: LCSW
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone(801) 828-6150
Sole ProprietorNo
Enumeration DateMay 2, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1548959968 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 · 8533533-3501
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.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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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.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Kallie Petersen's NPI number?

The NPI number for Kallie Petersen is 1548959968. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Kallie Petersen located?

Kallie Petersen practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 828-6150.

What is Kallie Petersen'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 Kallie Petersen was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.