STUYVESANT PEABODY LCSW
NPI 1891635918
Social Worker - Clinical in Rock Island, IL

Active since March 30, 2026
2545 24TH ST, ROCK ISLAND, IL 61201(888) 365-6271(210) 593-9863 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stuyvesant Peabody Lcsw NPPES

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

STUYVESANT PEABODY LCSW (NPI 1891635918) is an individual clinical provider in Rock Island, Illinois, licensed in Illinois (149008905) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1891635918
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSTUYVESANT PEABODYCredential: LCSW
Location Address2545 24TH STRock Island, IL 61201-5305
Mailing Address7272 Wurzbach Rd Ste 601San Antonio, TX 78240-4803 · (888) 365-6271 · Fax (210) 593-9869
Fax(210) 593-9863
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
NPI 1891635918 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 IL · 149008905
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.
2545 24TH ST, Rock Island, IL 61201

Other Providers at the Same Location NPPES 18

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

Speech-Language Pathologist
2545 24TH ST
ROCK ISLAND, IL 61201
Physical Therapy Assistant
2545 24TH ST
ROCK ISLAND, IL 61201
Nurse Practitioner
2545 24TH ST
ROCK ISLAND, IL 61201
Speech-Language Pathologist
2545 24TH ST
ROCK ISLAND, IL 61201
Skilled Nursing Facility
2545 24TH ST
ROCK ISLAND, IL 61201
Occupational Therapy Assistant
2545 24TH ST
ROCK ISLAND, IL 61201
Nurse Practitioner
2545 24TH ST
ROCK ISLAND, IL 61201
Nurse Practitioner
2545 24TH ST
ROCK ISLAND, IL 61201

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 Stuyvesant Peabody's NPI number?

The NPI number for Stuyvesant Peabody is 1891635918. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Stuyvesant Peabody located?

Stuyvesant Peabody practices at 2545 24th St, Rock Island, IL 61201. The listed phone number is (888) 365-6271.

What is Stuyvesant Peabody'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 Stuyvesant Peabody was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.