Individual provider · Type 1 NPI

Victoria Gale Peck, L.I.S.W.

Clinical Social Worker · Bloomfield, NM

NPI number 1164630174 Active

Practice location

325 N Bergin Ln
Bloomfield, NM 87413-6729

Call (505) 634-3863 Map

Mailing address

2103 Ranch Dr
Farmington, NM 87401-2573

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-06220 (NM)

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 1164630174

Victoria Gale Peck, L.I.S.W.'s National Provider Identifier is 1164630174, issued on May 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, NM. The record was last updated on Jul 9, 2007.