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

Mr. Tyler Rolland Petersen, CSW

Individual provider Clinical Social Worker · NPI 1770960452

Mr. Tyler Rolland Petersen, CSW is a Clinical Social Worker in Herriman, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015
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Practice location Address checks out

13351 S Shaunna Ln
Herriman, UT 84096
Phone: (801) 915-6055
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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 5919098-3502 (UT)

Record details

NPI number1770960452
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorYes
NPI enumeratedMay 1, 2015
Last updated in NPPESMay 1, 2015

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