IndividualActive
Bonnie Peters, LCSW
NPI 1679541189 · Clinical Social Worker · Midvale, UT
Provider details
- NPI number
- 1679541189
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1412043501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
777 W Center St
Midvale, UT 84047-7148
Phone: (801) 255-6881
Fax: (801) 562-9347
Approximate (ZIP-level) locationGet directions
Mailing address
777 W Center St
Midvale, UT 84047-7148
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.