MR. WALLACE T. PEAKE JR. MSW, LCSWA
NPI 1467028159
Social Worker - Clinical in Charlotte, NC

Q: What is Wallace Peake's NPI number?

The NPI number for Wallace Peake is 1467028159. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Q: What is Wallace Peake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wallace Peake was last updated on June 29, 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.

Active since June 02, 2021

1935 J N PEASE PL STE 104, CHARLOTTE, NC 28262(980) 288-5486 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Jun 2, 2021 (2 updates tracked since 2021).

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About Mr. Wallace T. Peake Jr. Msw, Lcswa NPPES

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

MR. WALLACE T. PEAKE JR. MSW, LCSWA (NPI 1467028159) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (P016244) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1467028159

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. WALLACE T. PEAKE JR.Credential: MSW, LCSWA

Location Address1935 J N PEASE PL STE 104Charlotte, NC 28262-4541

Mailing Address4614 Wilgrove Mint Hill Rd # 1Mint Hill, NC 28227-3500 · (980) 231-1937

Phone(980) 288-5486

Sole ProprietorYes

Enumeration DateJune 2, 2021

Last NPPES UpdateJune 29, 20212 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1467028159 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 NC · P016244

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.

1935 J N PEASE PL STE 104, Charlotte, NC 28262

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUILDING ENDURANCE

Community/Behavioral Health