Brooke N Peterson, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3726 E Campus Dr Ste H
Eagle Mountain, UT 84005-4514

Phone

(801) 789-7780

Fax

(801) 789-7700

NPI assigned

Aug 20, 2021

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1669148433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 E CAMPUS DR STE H",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054514",
            "telephone_number": "801-789-7780",
            "fax_number": "801-789-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BROOKE",
        "middle_name": "N",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayli Ouch, RN
• Darren Guy Pain
• Deejay Pasikala
• Kimmy Pearson, LMT
• Mayra Yvette Perry
• Jason Trent Peterson, OD
• Lacey Jean Peterson, LCSW
• Sadie N Pfister
• Pioneer Drug LLC (Cedar Valley Pharmacy)
• Hailee Platt

• Clinical Social Worker in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.