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

Mrs. Rebecca Connie Pedersen, LICSW, SUDP, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1386022978

Mrs. Rebecca Connie Pedersen, LICSW, SUDP, LCSW is a Clinical Social Worker in American Fork, Utah. Qualified in 2015, 11 years ago. Practices with Ascendant Behavioral Health LLC, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah and Washington.

Years since qualifying
11
Licensed in
UT, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
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

802 E Bamberger Dr Ste A
American Fork, UT 84003-2179
Phone: (801) 633-9887
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 365936-3501 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60818488 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61089331 (WA)

Record details

NPI number1386022978
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , SUDP , LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2015
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ascendant Behavioral Health Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in American Fork