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

Mr. Peter Kennedy Jr., LCSW

Individual provider Counselor · NPI 1821221250

Mr. Peter Kennedy Jr., LCSW is a Counselor in Rancho Cucamonga, California. Licensed in California and New Mexico. Registered with an NPI since 2009.

Licensed in
CA, NM
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9500 Haven Ave
Rancho Cucamonga, CA 91730
Phone: (909) 433-1276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 82504 (CA)
Counselor Taxonomy 101Y00000X · Licence M-08172 (NM)

Record details

NPI number1821221250
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2009
Last updated in NPPESMay 22, 2018

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