Mr Tyler Rolland Petersen, CSW - Clinical Social Worker in Herriman, UT

Mr Tyler Rolland Petersen, CSW is a Social Worker - Clinical based in Herriman, Utah. Mr Tyler Rolland Petersen is licensed to practice in Utah (license number 5919098-3502) and his current practice location is 13351 S Shaunna Lane, Herriman, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 915-6055.

NPI number for Mr Tyler Rolland Petersen is 1770960452 and his current mailing address is 13351 S Shaunna Ln, Herriman, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770960452.

Contact Information

Mr Tyler Rolland Petersen, CSW
13351 S Shaunna Lane,
Herriman, UT 84096
(801) 915-6055
Not Available



Healthcare Provider's Profile

Full NameMr Tyler Rolland Petersen
GenderMale
SpecialitySocial Worker - Clinical
Location13351 S Shaunna Lane, Herriman, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770960452
  • Provider Enumeration Date: 05/01/2015
  • Last Update Date: 05/01/2015

Medical Identifiers

Medical identifiers for Mr Tyler Rolland Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770960452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 5919098-3502 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tyler Rolland Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Tyler Rolland Petersen, CSW
13351 S Shaunna Ln,
Herriman, UT 84096-4706

Ph: (801) 915-6055
Mr Tyler Rolland Petersen, CSW
13351 S Shaunna Lane,
Herriman, UT 84096

Ph: (801) 915-6055

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› Verified 7 days ago


Social Worker in Herriman, UT

Ms. Lora J Watkins, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 14217 S Tempest Ridge Cir, Herriman, UT 84096
Phone: 152-010-6219    Fax: 844-903-2824
Brittany Bitters, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5629 W 13100 S, Herriman, UT 84096
Phone: 801-349-9606    Fax: 801-336-4106
Nicole Nielsen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5269 W Brundisi Way, Herriman, UT 84096
Phone: 801-598-3306    
Maddelynne Hobbs, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5629 W 13100 S, Herriman, UT 84096
Phone: 801-349-9606    Fax: 801-336-4106
Julie Madsen, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 5627 W 13100 S Ste B, Herriman, UT 84096
Phone: 801-520-5724    
Tiana Mccall, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 15155 S Rose View Ln, Herriman, UT 84096
Phone: 435-619-9570    
Haley Todd, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5629 W 13100 S, Herriman, UT 84096
Phone: 801-349-9606    Fax: 801-336-4106

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