Individual provider · Type 1 NPI

Kenneth Darryl Peters Sr.

Clinical Social Worker · Stockton, CA

NPI number 1740502160 Active

Practice location

2911 Sleepy Hollow Dr
Stockton, CA 95209-1144

Fax (916) 327-6017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1740502160

Kenneth Darryl Peters Sr.'s National Provider Identifier is 1740502160, issued on Feb 26, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Feb 26, 2010.