Nathan Mark Peterson, LCSW is a
Social Worker - Clinical based in Bountiful, Utah. Nathan Mark Peterson is licensed to practice in Utah (license number 7350613-3501) and his current practice location is
1459 N Main St, Bountiful, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 298-2000.
NPI number for Nathan Mark Peterson is 1447534268 and his current mailing address is 1459 North Main Street, Bountiful, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447534268.
Healthcare Provider's Profile
| Full Name | Nathan Mark Peterson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1459 N Main St, Bountiful, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447534268
- Provider Enumeration Date: 09/29/2011
- Last Update Date: 11/28/2016
Medical Identifiers
Medical identifiers for Nathan Mark Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447534268 | NPI | - | NPPES |
| 876000308007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 7350613-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7350613-3501 (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. Nathan Mark Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nathan Mark Peterson, LCSW 1459 North Main Street, Bountiful, UT 84010 Ph: (801) 298-2000 | Nathan Mark Peterson, LCSW 1459 N Main St, Bountiful, UT 84010-6092 Ph: (801) 298-2000 |
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