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MISS REGINA JOANNA PEACOCK LCSW
NPI 1053916965
Social Worker - Clinical in Rialto, CA

Active since December 01, 2020PECOS Enrolled
5822 OLIVE AVE, RIALTO, CA 92377(909) 831-0446 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Miss Regina Joanna Peacock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS REGINA JOANNA PEACOCK LCSW (NPI 1053916965) is an individual clinical provider in Rialto, California, licensed in California (98303) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053916965
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS REGINA JOANNA PEACOCKCredential: LCSW
Location Address5822 OLIVE AVERialto, CA 92377-3964
Mailing Address16195 Siskiyou Rd Ste 120bApple Valley, CA 92307-1346 · (760) 646-9766 · Fax (760) 646-9765
Phone(909) 831-0446
Sole ProprietorNo
Enumeration DateDecember 1, 2020
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1053916965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 98303
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5822 OLIVE AVE, Rialto, CA 92377
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Other Names 1

Former Name (1)Miss Regina J Peacock Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Regina Joanna Peacock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regina Peacock's NPI number?

The NPI number for Regina Peacock is 1053916965. It was assigned to this individual provider in the NPPES registry on December 1, 2020. The provider is also known as Miss Regina J Peacock Lcsw.

Where is Regina Peacock located?

Regina Peacock practices at 5822 Olive Ave, Rialto, CA 92377. The listed phone number is (909) 831-0446.

What is Regina Peacock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Regina Peacock enrolled in Medicare?

Yes. Regina Peacock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Regina Peacock was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.