MR. PAUL JOSEPH PETERSON (NPI# 1528114667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528114667 |
| Entity Type | Individual |
| Full Name | MR. PAUL JOSEPH PETERSON |
| Credential | MSW |
| Practice Address |
1459 N Main St Ste 100 Bountiful UT 84010-6092 |
| Practice Telephone | 8012982000 |
| Practice Fax Number | 8019511490 |
| Mailing Telephone | 8012982000 |
| Mailing Fax Number | 8019511490 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 5388245-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5388245-3501 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11260 S River Heights Drive, South Jordan, UT 84095 | 8012982000 | 8019511490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134769979 | Paul Peterson | Non-emergency Medical Transport (VAN) | 4314 45th St N, Fargo, ND 58102-6915 | 2020-01-09 |
| 1013304500 | Paul Carlton Peterson | Home Health Aide | 712 4th St Ne, Washington, DC 20002-4316 | 2015-04-22 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1245498971 | Paul Stephen Peterson | Physician Assistant | 5731 Silverstone Ter Ste 100, Colorado Springs, CO 80919-3594 | 2008-05-29 |
| 1285752642 | Paul Arthur Peterson | Specialist/Technologist | 46400 Algonkian Pkwy, Potomac Falls, VA 20165-6487 | 2007-03-26 |
| 1194876672 | Paul Gabriel Peterson | Student in an Organized Health Care Education/Training Program | Wramc Department of Radiology, 6900 Georgia Ave. Nw, Bldg. 2, Washington, DC 20307-0001 | 2007-01-13 |
| 1972678993 | Paul Stanley Peterson | Chiropractor | 4616 El Camino Ave, Sacramento, CA 95821-6736 | 2006-11-22 |
| 1275646465 | Paul J Peterson | Social Worker | 102 Southend Dr, Dayton, NV 89403-7414 | 2006-08-15 |
| 1326013426 | Paul D Peterson | Family Medicine | 2600 Outer Dr N, Sioux City, IA 51104-1585 | 2006-02-22 |
| 1861494486 | Paul D Peterson | Internal Medicine | 2207 S Clear Creek Rd, Ste 304, Killeen, TX 76549-4132 | 2005-08-12 |
| Street Address |
1459 N MAIN ST STE 100 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079069 | The Ocd and Anxiety Treatment Center | Community/Behavioral Health | 1459 N Main St Ste 100, Bountiful, UT 84010-6092 | 2015-07-29 |
| 1154742682 | Paula Thompson | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010 | 2013-12-31 |
| 1699055061 | Lynne Sill | Social Worker | 1459 N Main St Ste 100, Bountiful, UT 84010 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1497103717 | Dee Hansen | Social Worker | 3697 Oakridge Dr, Bountiful, UT 84010-5864 | 2016-05-26 |
| 1598159196 | Anjail Haqq | Social Worker | 830 N 500 W, Apt . 10, Bountiful, UT 84010-6864 | 2015-03-23 |
| 1437403920 | Nicholas Benjamin Browning | Social Worker | 501 W 2600 S, Bountiful, UT 84010-7784 | 2012-11-05 |
| 1124326624 | Craig T. Smith | Social Worker | 503 W 2600 S # N, Bountiful, UT 84010-7717 | 2011-03-07 |
| 1891015053 | Matthew Ted Palfreyman | Social Worker | 50 E 1600 S, Bountiful, UT 84010-5249 | 2010-06-10 |
| 1518427319 | Joseph S Puntasecca | Social Worker | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2019-03-20 |
| 1841773207 | Jenny Taylor Hallisey | Social Worker | 1459 N Main St, Bountiful, UT 84010-6092 | 2018-09-12 |
| 1528554797 | Jill Jensen | Social Worker | 1459 N Main St # 100, Bountiful, UT 84010-6092 | 2018-07-10 |
| 1750806683 | Amber Zaugg | Social Worker | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2017-08-11 |
| Find all providers in BOUNTIFUL | ||||
Please comment or provide details below to improve the information on MR. PAUL JOSEPH PETERSON.
| 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.