MR. PETER KENNEDY JR. LCSW
NPI 1821221250
Social Worker - Clinical in Rancho Cucamonga, CA

Active since September 02, 2009
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730(909) 433-1276 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Peter Kennedy Jr. Lcsw NPPES

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

MR. PETER KENNEDY JR. LCSW (NPI 1821221250) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (82504) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1821221250
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PETER KENNEDY JR.Credential: LCSW
Location Address9500 HAVEN AVERancho Cucamonga, CA 91730
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-5551 · Fax (505) 272-6845
Sole ProprietorNo
Enumeration DateSeptember 2, 2009
Last NPPES UpdateMay 22, 2018
NPI 1821221250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 82504
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.
Also ListedCounselorTaxonomy 101Y00000X · License M-08172 (NM)
9500 HAVEN AVE, Rancho Cucamonga, CA 91730

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.

Counselor
9500 HAVEN AVE, 100
RANCHO CUCAMONGA, CA 91730
Peer Specialist
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Counselor
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Counselor
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
Counselor (Mental Health)
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
Interpreter
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730

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 Peter Kennedy's NPI number?

The NPI number for Peter Kennedy is 1821221250. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Peter Kennedy located?

Peter Kennedy practices at 9500 Haven Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 433-1276.

What is Peter Kennedy'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 Peter Kennedy was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.