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

Individual provider Clinical Social Worker · NPI 1467992461

Rebecca Leigh Peacock, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Licensed in Connecticut, North Carolina and New York. Registered with an NPI since 2017.

Licensed in
CT, NC, NY
In the registry since
2017
Specialties on file
3
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

810 Tyvola Rd Ste 126
Charlotte, NC 28217-3536
Phone: (704) 566-3410
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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 C015159 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 011553 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 091164 (NY)

Record details

NPI number1467992461
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2017
Last updated in NPPESJune 6, 2023
Certification dateJune 1, 2023

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