Healthcare Provider Details

I. General information

NPI: 1235478157
Provider Name (Legal Business Name): CHELSEA N PILGER CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GHELSEA N PETERSEN CSW

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 S PIONEER PKWY STE 201
WEST VALLEY CITY UT
84120-2085
US

IV. Provider business mailing address

3336 S PIONEER PKWY STE 201
WEST VALLEY CITY UT
84120-2085
US

V. Phone/Fax

Practice location:
  • Phone: 801-313-0555
  • Fax: 801-313-9669
Mailing address:
  • Phone: 801-313-0555
  • Fax: 801-313-9669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9585529-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: