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MR. TYLER ROLLAND PETERSEN CSW
NPI 1770960452
Social Worker - Clinical in Herriman, UT

Active since May 01, 2015
13351 S SHAUNNA LANE, HERRIMAN, UT 84096(801) 915-6055 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyler Rolland Petersen Csw NPPES

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

MR. TYLER ROLLAND PETERSEN CSW (NPI 1770960452) is an individual clinical provider in Herriman, Utah, licensed in Utah (5919098-3502) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1770960452
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. TYLER ROLLAND PETERSENCredential: CSW
Location Address13351 S SHAUNNA LANEHerriman, UT 84096
Mailing Address13351 S Shaunna LnHerriman, UT 84096-4706 · (801) 915-6055
Phone(801) 915-6055
Sole ProprietorYes
Enumeration DateMay 1, 2015
✔ NPI 1770960452 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 · 5919098-3502
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.
13351 S SHAUNNA LANE, Herriman, UT 84096
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Accepted Insurance

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

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 Tyler Petersen's NPI number?

The NPI number for Tyler Petersen is 1770960452. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Tyler Petersen located?

Tyler Petersen practices at 13351 S Shaunna Lane, Herriman, UT 84096. The listed phone number is (801) 915-6055.

What is Tyler Petersen's specialty?

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

What insurance does Tyler Petersen accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Tyler 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 Tyler Petersen was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.