Individual provider · Type 1 NPI
Regina Joanna Peacock, LCSW
Clinical Social Worker · Rialto, CA
Practice location
5822 Olive Ave
Rialto, CA 92377-3964
Mailing address
16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 98303 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1053916965
Regina Joanna Peacock, LCSW's National Provider Identifier is 1053916965, issued on Dec 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rialto, CA. The record was last updated on Aug 5, 2021.