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General NPI Number Information
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NPI Number | 1285436394
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Entity Type | Organization
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Legal Business Name | JESSICA MCPEAK, LICSW, LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 134 MAIN ST STE A
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City | NORTH EASTON
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State | MA
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Zip | 02356-1461
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Country | US
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Telephone | 747-487-4632
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Fax |
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Provider Business Mailing Address
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Address Line | 134 MAIN ST STE A
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City | NORTH EASTON
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State | MA
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Zip | 02356-1461
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | JESSICA MCPEAK
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Credential | LICSW
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Telephone | 774-487-4632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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