TAWANNA PEACOCK LMSW
NPI 1205040433
Counselor in Bronx, NY

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
729 E 230TH ST, BRONX, NY 10466(917) 405-6086 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tawanna Peacock Lmsw NPPES

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

TAWANNA PEACOCK LMSW (NPI 1205040433) is an individual counselor in Bronx, New York and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205040433
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAWANNA PEACOCKCredential: LMSW
Location Address729 E 230TH STBronx, NY 10466-4103
Mailing Address729 E 230th StBronx, NY 10466-4103 · (917) 405-6086
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 16, 2013
NPI 1205040433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

729 E 230TH ST, Bronx, NY 10466

Other Identifiers 3

Other00355940NY · Agency Medicaid
Other1285628552NY · Agency Npi #
Medicare ID-Type UnspecifiedWVE061NY · Agency Medicare Provider#

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tawanna Peacock Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42757734
PECOS Enrollment IDI20240730003728
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205040433, enumerated as an "individual" on May 09, 2007.

The provider is located at 729 E 230TH ST BRONX, NY 10466 and the phone number is (917) 405-6086.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.