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PENNY L PETERSON LCSW
NPI 1609856053
Social Worker - Clinical in Salt Lake City, UT

Active since January 20, 2006PECOS Enrolled
2525 LAKE PARK BLVD, SALT LAKE CITY, UT 84120(801) 982-3085(855) 525-7075 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penny L Peterson Lcsw NPPES

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

PENNY L PETERSON LCSW (NPI 1609856053) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (1328423501) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609856053
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePENNY L PETERSONCredential: LCSW
Location Address2525 LAKE PARK BLVDSalt Lake City, UT 84120-8230
Mailing Address2525 Lake Park BlvdSalt Lake City, UT 84120-8230 · (801) 982-3085 · Fax (855) 525-7075
Phone(801) 982-3085
Fax(855) 525-7075
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 25, 2011
✔ NPI 1609856053 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 · 1328423501
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.
2525 LAKE PARK BLVD, Salt Lake City, UT 84120
Open in Google Maps ↗

Other Identifiers 2

Other13284235000001UT · Blue Cross
Medicare UPINNPP000UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penny L Peterson Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 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 3

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

MRS. VICTORIA ANN LIEDTKE LCSW
Social Worker (Clinical)
2525 LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 982-3048
MS. CONNIE R MENDEZ LCSW
Social Worker (Clinical)
2525 LAKE PARK BLVD
WEST VALLEY, UT 84120
Salt Lake County (801) 982-3038
MR. KEVIN B MUESKE RN
Registered Nurse (Psychiatric/Mental Health)
2525 LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 982-3071

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 Penny Peterson's NPI number?

The NPI number for Penny Peterson is 1609856053. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Penny Peterson located?

Penny Peterson practices at 2525 Lake Park Blvd, Salt Lake City, UT 84120. The listed phone number is (801) 982-3085.

What is Penny Peterson's specialty?

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

Is Penny Peterson enrolled in Medicare?

Yes. Penny Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Penny Peterson was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.