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

Nikita Petersen, LCSW

Individual provider Clinical Social Worker · NPI 1477032779

Nikita Petersen, LCSW is a Clinical Social Worker in Layton, Utah. Qualified in 2019, 7 years ago. Practices with Davis Behavioral Health Inc, a 62-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2018
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

934 S Main St
Layton, UT 84041-7135
Phone: (801) 773-7060
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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 12755333-3501 (UT)

Record details

NPI number1477032779
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Davis Behavioral Health Inc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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