M CHARLENE PEACOCK LBSW NPI 1730379462

NPI Information

NPI: 1730379462
Provider Name: M CHARLENE PEACOCK, LBSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3205 CLINTON PARKWAY CT
LAWRENCE, KS
ZIP 66047
Phone: (785) 843-5483
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M Charlene Peacock, LBSW is an addiction (substance use disorder) counselor in Lawrence, KS. M Charlene Peacock, LBSW NPI is 1730379462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3205 CLINTON PARKWAY CT
LAWRENCE, KS
ZIP 66047-627
Phone: (785) 843-5483

The enumeration date for this NPI number is 7/30/2007 and was last updated on 6/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		6687	KANSAS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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