Individual provider · Type 1 NPI

Stuyvesant Peabody, LCSW

Clinical Social Worker · Rock Island, IL

NPI number 1891635918 Active

Practice location

2545 24th St
Rock Island, IL 61201-5305

Call (888) 365-6271 Map

Fax (210) 593-9863

Mailing address

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149008905 (IL)

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 1891635918

Stuyvesant Peabody, LCSW's National Provider Identifier is 1891635918, issued on Mar 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rock Island, IL. The record was last updated on Mar 30, 2026.