Penny L Peterson in Salt Lake City - Clinical
Penny L Peterson - NPI 1609856053
Penny L Peterson is a Clinical in Salt Lake City, Utah. Penny L Peterson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penny L Peterson is 1609856053. The last update date is 2011-07-25.
Penny L Peterson's current location address is 2525 Lake Park Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8019823085 and fax number 8555257075. The mailing address for Penny L Peterson is 2525 Lake Park Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny L Peterson |
|---|---|
| Address | 2525 Lake Park Blvd, Salt Lake City, Utah |
| Phone Number | 8019823085 |
| Fax Number | 8555257075 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609856053 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2011-07-25 |
Provider Mailing Address Detail
| Address | 2525 Lake Park Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841208230 |
| Phone Number | 8019823085 |
| Fax Number | 8555257075 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1328423501 |
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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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13284235000001 | UT | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penny L Peterson by the Centers for Medicare & Medicaid Services?
The Penny L Peterson has been issued the NPI (National Provider Identifier) 1609856053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Penny L Peterson located?
The Penny L Peterson is located at 2525 Lake Park Blvd, Salt Lake City, UT 841208230.
What is Penny L Peterson's area of expertise and its corresponding taxonomy classification?
The Penny L Peterson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Penny L Peterson receive its 1609856053?
The Penny L Peterson was issued its 1609856053 on 2006-01-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Penny L Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Penny L Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-25.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY