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

Individual provider Clinical Social Worker · NPI 1164779138

Tina Peck, LCSW is a Clinical Social Worker in Brigham City, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2012
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

34 W 400 N Ste 1
Brigham City, UT 84302
Phone: (435) 494-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34 W 400 N Ste 1, Brigham City, UT 84302 — (435) 494-1557

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9177224-3501 (UT)

Record details

NPI number1164779138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 15, 2019

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