MS. LACEY J PETERSON (NPI# 1598285025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598285025 |
| Entity Type | Individual |
| Full Name | MS. LACEY J PETERSON |
| Credential | LCSW |
| Practice Address |
1972 W 5400 S Taylorsville UT 84129-1459 |
| Practice Telephone | 8019693889 |
| Mailing Telephone | 8019693889 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11115847-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09926230 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659745826 | Lacey Peterson | Technician, Other | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2015-11-25 |
| 1124216213 | Lacey Marie Peterson | Physical Therapy Assistant | 1807 Paso Roble Way, Madison, WI 53716-2418 | 2007-10-15 |
| Street Address |
1972 W 5400 S |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821028861 | Roman D. Hentish | Chiropractor | 1972 W 5400 S, Taylorsville, UT 84118-1459 | 2006-07-04 |
| 1932738028 | Mind and Body Integration | Clinic/Center | 1972 W 5400 S, Taylorsville, UT 84129-1459 | 2020-04-02 |
| 1558871590 | Interventional Medical Center | Peer Specialist | 1972 W 5400 S, Taylorsville, UT 84129-1459 | 2017-10-04 |
| 1205237799 | Rachel Jenkins-lloyd | Nurse Practitioner | 1972 W 5400 S, Taylorsville, UT 84129-1459 | 2014-09-16 |
| 1528327137 | Upri Taylorsville | Specialist | 1972 W 5400 S, Suite 100, Taylorsville, UT 84129-1459 | 2012-05-16 |
| 1629231287 | Watts LLC | Chiropractor | 1972 W 5400 S, Taylorsville, UT 84118-1459 | 2008-07-03 |
| 1336294602 | Healthquest of Taylorsville | Chiropractor | 1972 W 5400 S, Taylorsville, UT 84118-1459 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832502 | Another Day Therapy, Pllc | Social Worker | 5663 S Redwood Rd Ofc 14, Taylorsville, UT 84123-5387 | 2020-08-18 |
| 1417491796 | Carin Knight | Social Worker | 5770 S 1500 W Bldg A, Taylorsville, UT 84123-5216 | 2016-12-06 |
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1902274731 | Arbor Counseling Utah LLC | Social Worker | 5667 S Redwood Rd Unit 6, Taylorsville, UT 84123-5433 | 2015-09-10 |
| 1043600059 | Jessica Renay White | Social Worker | 173 Joe Booth Rd, Taylorsville, MS 39168-4608 | 2015-01-28 |
| 1902215692 | Emily Ruth Roberts | Social Worker | 5689 S Redwood Rd Unit 28b, Taylorsville, UT 84123-5499 | 2014-08-06 |
| 1275954869 | Melanie Lawrence | Social Worker | 4989 S Meadow View Dr, Taylorsville, UT 84123-6843 | 2013-12-26 |
| 1679851778 | Gayle Reschke | Social Worker | 5675 S Redwood Rd Unit 9, Taylorsville, UT 84123-5498 | 2011-07-25 |
| 1548570922 | Lori Smith | Social Worker | 5770 S 1500 W Bldg B, Taylorsville, UT 84123-5216 | 2010-10-19 |
| 1447564646 | Donna Aubuchon | Social Worker | 299 Hillsboro Rd, Taylorsville, NC 28681-3521 | 2010-07-29 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.