Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenda Petersen

Individual provider Counselor · NPI 1407575681

Brenda Petersen is a Clinical Social Worker in Ogden, Utah. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

237 26th St
Ogden, UT 84401-3105
Phone: (801) 625-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 135256663501 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1407575681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address237 26th St, Ogden, UT 84401-3105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ogden