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

Casey Brian Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1114431772

Casey Brian Petersen, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 833 E 9400 S, Sandy, UT 84094-3655 — (801) 566-2556

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7392336-3501 (UT)

Record details

NPI number1114431772
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 18, 2017
Last updated in NPPESMarch 17, 2018

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