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MALIA PEACOCK
NPI 1811858491
Social Worker - Clinical in Otsego, MN

Active since November 21, 2025
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330(763) 746-9492(763) 746-3685 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Nov 21, 2025 (2 updates tracked since 2025).

About Malia Peacock NPPES

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

MALIA PEACOCK (NPI 1811858491) is an individual clinical provider in Otsego, Minnesota, licensed in Minnesota (35597) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1811858491
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMALIA PEACOCK
Location Address9245 QUANTRELLE AVE NEOtsego, MN 55330-0168
Mailing Address9245 Quantrelle Ave NeOtsego, MN 55330-0168 · (763) 746-9492 · Fax (763) 746-3685
Phone(763) 746-9492
Fax(763) 746-3685
Sole ProprietorNo
Enumeration DateNovember 21, 2025
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1811858491 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 MN · 35597
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.
9245 QUANTRELLE AVE NE, Otsego, MN 55330
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Other Providers at the Same Location NPPES 20

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

MIKKI K MASON LMFT, LADC
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 308-8619
HEATHER JO VOSS MHP, ADC-T
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 308-8619
AMBER ROSE SELLIN MA
Counselor (Mental Health)
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
KEVIN ALAN AUGUSTIN
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
DIMITRI M TSAMPIS
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
ELIZABETH PRIGGE LADC
Counselor (Addiction (Substance Use Disorder))
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
JANE POLLOCK JOHNSON
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492
LISA ANNE ESKOLA MA, LMFT
Marriage & Family Therapist
9245 QUANTRELLE AVE NE
OTSEGO, MN 55330
Sherburne County (763) 746-9492

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 Malia Peacock's NPI number?

The NPI number for Malia Peacock is 1811858491. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Malia Peacock located?

Malia Peacock practices at 9245 Quantrelle Ave NE, Otsego, MN 55330. The listed phone number is (763) 746-9492.

What is Malia Peacock'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 Malia Peacock was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.