IndividualActive
Tyler Petersen, CSW
NPI 1770960452 · Clinical Social Worker · Herriman, UT
Tyler Petersen, CSW is a Clinical Social Worker provider in Herriman, UT (NPI 1770960452).
Provider details
- NPI number
- 1770960452
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5919098-3502 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13351 S Shaunna Lane
Herriman, UT 84096
Phone: (801) 915-6055
Street-level locationGet directions
Mailing address
13351 S Shaunna Ln
Herriman, UT 84096-4706
Registry dates
- Enumerated
- 2015-05-01
- Last updated
- 2015-05-01
Frequently asked questions
- What is Tyler Petersen's NPI number?
- Tyler Petersen's National Provider Identifier (NPI) is 1770960452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Petersen's specialty?
- Tyler Petersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tyler Petersen located?
- Tyler Petersen's practice location on file with NPPES is 13351 S Shaunna Lane, Herriman, UT 84096.
- What is Tyler Petersen's phone number?
- The practice phone number listed in the NPPES registry for Tyler Petersen is (801) 915-6055.
- Is Tyler Petersen's NPI active?
- Yes — Tyler Petersen's NPI (1770960452) is active in the NPPES registry as of the last update on 2015-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.