IndividualActive
Jessica Peacock, CSWA
NPI 1629433206 · Social Worker · Prineville, OR
Jessica Peacock, CSWA is a Social Worker provider in Prineville, OR (NPI 1629433206).
Provider details
- NPI number
- 1629433206
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSWA
- Sex
- Female
- Sole proprietor
- No
Practice location
375 Nw Beaver St Ste 101
Prineville, OR 97754-1802
Phone: (541) 383-3005
Street-level locationGet directions
Mailing address
018 Sw Boundary Ct
Portland, OR 97239-3939
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2022-09-26
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.