Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Peacock, CSWA

Individual provider Social Worker · NPI 1629433206

Jessica Peacock, CSWA is a Clinical Social Worker in Prineville, Oregon. Qualified in 2022, 4 years ago. Practices with Mosaic Community Health, a 79-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2015
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Practice location Address checks out

375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Phone: (541) 383-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1629433206
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSWA
Sole proprietorNo
NPI enumeratedDecember 23, 2015
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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