MR. DAVID H PETERSEN (NPI# 1679764989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679764989 |
| Entity Type | Individual |
| Full Name | MR. DAVID H PETERSEN |
| Credential | LCSW |
| Practice Address |
6112 S 1550 E Ogden UT 84405-5007 |
| Mailing Address |
6112 S. 1550 E. Skyline Dr. Ogden UT 84405-5007 |
| Practice Telephone | 8015895251 |
| Mailing Telephone | 8015895251 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
108132-3501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112951 | David Petersen | Student in an Organized Health Care Education/Training Program | 1648 N Venetian Way, Saratoga Springs, UT 84045-3150 | 2015-05-01 |
| 1821114968 | David Petersen | Physical Therapist | 164 Circle Dr, Cottontown, TN 37048-4619 | 2007-03-21 |
| 1821145590 | David Sigurd Petersen | Urology | 2121 1st Street A, Moline, IL 61265-7745 | 2007-01-04 |
| 1851482202 | David B Petersen | Ophthalmology | 4400 So 700 E, 100, Salt Lake City, UT 84107 | 2006-09-28 |
| 1942250808 | David James Petersen | Podiatrist | 24191 Paseo De Valencia, Suite E, Laguna Woods, CA 92637-3167 | 2006-05-11 |
| 1669454062 | David Petersen | Registered Nurse | 460 State Rd #7, Ste 300, Royal Palm Beach, FL 33411 | 2005-11-19 |
| 1750363149 | David A Petersen | Orthopaedic Surgery | 361 Hospital Rd Ste 527, Newport Beach, CA 92663-3526 | 2005-11-19 |
| 1225497894 | David Petersen | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2016-02-11 |
| 1164633632 | David Petersen | Counselor | University of Maryland, 1209 Shoemaker Building, College Park, MD 20742-0001 | 2007-05-25 |
| 1194848655 | David G Petersen | Dentist | 123 W Francis Ave Ste 104, Spokane, WA 99205-6348 | 2007-04-09 |
| Street Address |
6112 S 1550 E |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540870 | Intermountain Neurology | Internal Medicine | 6112 S 1550 E, Ogden, UT 84405-5007 | 2005-09-30 |
| 1679079784 | Shelby Abdulla Pitts | Nurse Practitioner | 6112 S 1550 E, Ogden, UT 84405 | 2018-04-05 |
| 1235515453 | Skyline Plastic and Hand Surgery LLC | Specialist | 6112 S 1550 E, Suite 102, Ogden, UT 84405-5007 | 2015-08-11 |
| 1386876530 | Tyler J D'hulst | Physician Assistant | 6112 S 1550 E, Ogden, UT 84405-5007 | 2009-08-20 |
| 1568590743 | Ogden Orthopaedic Specialists LLC | Orthopaedic Surgery | 6112 S 1550 E, Suite 202, Ogden, UT 84405-5608 | 2007-03-01 |
| 1740371681 | David B Glover | Podiatrist | 6112 S 1550 E, Suite 201, Ogden, UT 84405-4859 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| 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 |
|---|---|---|---|---|
| 1063020303 | Healing Journey Utah | Social Worker | 221 25th St, Ogden, UT 84401-2301 | 2020-07-22 |
| 1588147987 | Brandie Crystal Paterakis | Social Worker | 1525 Lincoln Ave Ste 2, Ogden, UT 84404-5647 | 2018-09-11 |
| 1710492483 | Angela Hadley | Social Worker | 5300 S 500 E Ste 6, Ogden, UT 84405-6955 | 2017-12-04 |
| 1790215184 | Christina A. Franco | Social Worker | 3500 Harrison Blvd Ste 106, Ogden, UT 84403-2038 | 2017-06-18 |
| 1235664822 | Chelsea Jean Parish | Social Worker | 653 25th St, Ogden, UT 84401-2644 | 2017-04-20 |
| 1184161176 | Sean Zachary Bullock | Social Worker | 533 26th St Ste 100, Ogden, UT 84401-2459 | 2017-01-27 |
| 1457703761 | Hannah Raquel Cross | Social Worker | 136 25th St Unit C, Ogden, UT 84401-1302 | 2016-07-11 |
| 1760861173 | Balanced Lifestyles Counseling, LLC | Social Worker | 5521 Woodland Circle, Ogden, UT 84401-5134 | 2015-05-19 |
| 1366847840 | Shawna Cales | Social Worker | 210 27th St, Ogden, UT 84401-3602 | 2014-10-27 |
| 1780002121 | Kara Patin | Social Worker | 2550 Washington Blvd, Ste 200, Ogden, UT 84401-3126 | 2014-04-02 |
| Find all providers in OGDEN | ||||
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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.