MR. KENNETH DARRYL PETERS SR.
NPI 1740502160
Social Worker - Clinical in Stockton, CA

Active since February 26, 2010
2911 SLEEPY HOLLOW DR, STOCKTON, CA 95209(209) 475-0199(916) 327-6017 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Darryl Peters Sr. NPPES

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

MR. KENNETH DARRYL PETERS SR. (NPI 1740502160) is an individual clinical provider in Stockton, California and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1740502160
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH DARRYL PETERS SR.
Location Address2911 SLEEPY HOLLOW DRStockton, CA 95209-1144
Mailing Address2911 Sleepy Hollow DrStockton, CA 95209-1144 · (209) 475-0199 · Fax (916) 327-6017
Fax(916) 327-6017
Sole ProprietorYes
Enumeration DateFebruary 26, 2010
NPI 1740502160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

2911 SLEEPY HOLLOW DR, Stockton, CA 95209

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 Kenneth Peters's NPI number?

The NPI number for Kenneth Peters is 1740502160. It was assigned to this individual provider in the NPPES registry on February 26, 2010.

Where is Kenneth Peters located?

Kenneth Peters practices at 2911 Sleepy Hollow Dr, Stockton, CA 95209. The listed phone number is (209) 475-0199.

What is Kenneth Peters's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Peters was last updated on February 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.