Individual provider · Type 1 NPI

Tina Peck, LCSW

Clinical Social Worker · Brigham City, UT

NPI number 1164779138 Active

Practice location

34 W 400 N Ste 1
Brigham City, UT 84302

Call (435) 494-1557 Map

Mailing address

PO Box 866
Brigham City, UT 84302-0866

Other practice locations

  • 34 W 400 N Ste 1, Brigham City, UT 84302 · (435) 494-1557

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9177224-3501 (UT)

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 1164779138

Tina Peck, LCSW's National Provider Identifier is 1164779138, issued on Aug 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brigham City, UT. The record was last updated on Aug 15, 2019.