Individual provider · Type 1 NPI

Khadijah G. Peguero, LCSW

Clinical Social Worker · New York, NY

NPI number 1275259285 Active

Practice location

302 W 91st St Apt 2
New York, NY 10024-1011

Call (212) 787-7120 Map

Fax (212) 580-0533

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X103471 (NY)

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 1275259285

Khadijah G. Peguero, LCSW's National Provider Identifier is 1275259285, issued on Oct 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 28, 2026.