IndividualActive
Kimberly Petersen
NPI 1003418179 · Social Worker · Salt Lake City, UT
Provider details
- NPI number
- 1003418179
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5800 S Highland Dr
Salt Lake City, UT 84121-1359
Phone: (801) 272-9980
Approximate (ZIP-level) locationGet directions
Mailing address
5800 S Highland Dr
Salt Lake City, UT 84121-1359
Registry dates
- Enumerated
- 2020-11-12
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.