Individual provider · Type 1 NPI
Lisa Martinez Peacock, LCSW, LSCSW, LISW-CP
Clinical Social Worker · Overland Park, KS
Practice location
7716 W 65th St
Overland Park, KS 66202-3830
Fax (913) 353-9351
Mailing address
5400 Johnson Dr, Suite 288
Mission, KS 66205-2911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 4138 (KS) |
| Clinical Social Worker | 1041C0700X | 20-3244643 (MO) |
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 1710245006
Lisa Martinez Peacock, LCSW, LSCSW, LISW-CP's National Provider Identifier is 1710245006, issued on Apr 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Overland Park, KS. The record was last updated on Feb 2, 2022.