MEDICARE: TARALYNN PEAK LCSW, LCADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	37LC00357900	NJ

General Provider Information

NPI Number	:	1861356891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARALYNN PEAK LCSW, LCADC

Provider Business Mailing Address
First Line	:	3 LINDA LN
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-7342
Country	:	US
Telephone Number	:	609-813-0716
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 LINDA LN
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-7342
Country	:	US
Telephone Number	:	609-813-0716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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