Kim R Peek is a Clinical in Aviston, Illinois. Kim R Peek practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim R Peek is 1235321829. The last update date is 2017-03-06.
Kim R Peek's current location address is 4787 Old Us Route 50, Aviston, Illinois. You can contact this provider via phone number 6183459536. The mailing address for Kim R Peek is 4787 Old Us Route 50, Aviston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim R Peek |
|---|---|
| Address | 4787 Old Us Route 50, Aviston, Illinois |
| Phone Number | 6183459536 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235321829 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2017-03-06 |
Provider Mailing Address Detail
| Address | 4787 Old Us Route 50 |
|---|---|
| City | Aviston |
| State | Illinois (IL) |
| Post Code | 62216 |
| Phone Number | 6183459536 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-008684 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1841739620 | IL | NPI (2) |
Post Comment/ Review Below
What is the unique identification code assigned to Kim R Peek by the Centers for Medicare & Medicaid Services?
The Kim R Peek has been issued the NPI (National Provider Identifier) 1235321829. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kim R Peek is physically located?
The Kim R Peek is physically situated at the following address: 4787 Old Us Route 50, Aviston, IL, 62216.
What is Kim R Peek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim R Peek is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Kim R Peek receive the assignment of its 1235321829 from the Centers for Medicare & Medicaid Services?
The Kim R Peek was issued its 1235321829 by the Centers for Medicare & Medicaid Services on 2007-08-16.
As of what date was the information regarding Kim R Peek, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim R Peek, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-06.