JESSICA PEACOCK CSWA
NPI 1629433206
Social Worker in Prineville, OR

Q: What is Jessica Peacock's NPI number?

The NPI number for Jessica Peacock is 1629433206. It was assigned to this individual provider in the NPPES registry on December 23, 2015. The provider is also known as Jessica Hayden.

Q: What is Jessica Peacock's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Peacock was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 23, 2015PECOS Enrolled

375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754(541) 383-3005 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2022, Dec 23, 2015 (2 updates tracked since 2015).

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About Jessica Peacock Cswa NPPES

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

JESSICA PEACOCK CSWA (NPI 1629433206) is an individual social worker in Prineville, Oregon and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629433206

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSICA PEACOCKCredential: CSWA

Location Address375 NW BEAVER ST STE 101Prineville, OR 97754-1802

Mailing Address018 Sw Boundary CtPortland, OR 97239-3939 · (503) 222-9661

Phone(541) 383-3005

Sole ProprietorNo

Enumeration DateDecember 23, 2015

Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1629433206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

375 NW BEAVER ST STE 101, Prineville, OR 97754

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Other Names 1

Former Name (1)Jessica Hayden

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Peacock Cswa 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.

Other Providers at the Same Location NPPES 15

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

SUZANNE M JONES FNP

Nurse Practitioner