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

Kelissa Peterson, LCSW

Individual provider Clinical Social Worker · NPI 1851998207

Kelissa Peterson, LCSW is a Clinical Social Worker in Farmington, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

284 E 750 S
Farmington, UT 84025-3243
Phone: (208) 994-9677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7396757-3501 (UT)

Record details

NPI number1851998207
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 7, 2020
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address284 E 750 S, Farmington, UT 84025-3243

Other providers in Farmington