Nicole Monique Peacock, MSW, P-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008628 Issued in NC

Practice address

8801 J M Keynes Dr
Charlotte, NC 28262-8436

Phone

(704) 537-9551

Fax

(866) 577-8514

NPI assigned

Dec 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trusted Results Therapy Group LLCGroup PAC ID 8022552769, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trusted Results Therapy Group LLC

  • Community/Behavioral Health Agency
  • Charleston, SC
  • NPI 1427736404
  Medicare reassignment Care Compare group NPD
• Array of Brighter Beginnings Inc

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1760808422

  Clinical

  Medicare reassignment NPD
• Vaughters Specialized Consultative Services LLC

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1851705446

  Clinical

  Medicare reassignment NPD
• Cornerstone Medical Center, PA

  • Family Medicine Physician
  • Burlington, NC
  • NPI 1548233182
  NPD
• Pivotal Point Solution

  • Mental Health Counselor
  • Windsor, NC
  • NPI 1306462981
  NPD
• Bridge to Success

  • Community/Behavioral Health Agency
  • Jamestown, NC
  • NPI 1447998737

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1831428523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BONANZA DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281449422",
            "telephone_number": "704-433-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 J M KEYNES DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628436",
            "telephone_number": "704-537-9551",
            "fax_number": "866-577-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "NICOLE",
        "middle_name": "MONIQUE",
        "credential": "MSW, P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach State Medical Practice, PC
• Peachy Nutrition, LLC
• Crystal L Peacock
• Hunter Lewis Peacock, DPT
• Marquis Peacock, MD
• Rebecca Leigh Peacock, LCSW
• Peak Family Health PLLC
• Peak Homecare Agency LLC
• Peak Performance Agency LLC
• Peak Potential Psychology, PLLC

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.