Brenda Petersen, is a medicare enrolled "Social Worker - Clinical" provider in Ogden, Utah. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
237 26th St, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 625-3700.
Brenda Petersen is licensed to practice in Utah (license number 135256663501) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407575681.
Healthcare Provider's Profile
| Full Name | Brenda Petersen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 3 Years |
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| Location | 237 26th St, Ogden, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brenda Petersen graduated from medical school in 2023
NPI Data:
- NPI Number: 1407575681
- Provider Enumeration Date: 08/23/2022
- Last Update Date: 06/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466936604
- Enrollment ID: I20260325001859
Medical Identifiers
Medical identifiers for Brenda Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407575681 | NPI | - | NPPES |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 000055266 | Other | UT | MEDICARE PIN |
| 8760003008007 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 135256663501 (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. Brenda Petersen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brenda Petersen, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 | Brenda Petersen, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 |
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