Active NPIIndividual providerSole proprietor

Genesis I Peguero, MSW, LICSW

Social Worker, School in Weymouth, Massachusetts

NPI Number1518777119
Practice location
1 Wildcat Way, Weymouth, MA 02190-2664
Fax
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Last updated
January 7, 2025

Genesis Iliana Peguero is a Social Worker, School based in Weymouth, MA. Genesis Iliana Peguero practices in Weymouth, MA and has the professional credentials of MSW, LICSW. The NPI Number for Genesis Iliana Peguero is 1518777119 and holds a License No. 127872 (MA). The current practice location address for Genesis Iliana Peguero is 1 Wildcat Way, Weymouth, MA 02190-2664 and can be reached out via phone at 781-337-7500.

Provider Profile Details

NPI Number
1518777119
Provider Name
Genesis Iliana Peguero
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
1 Wildcat Way, Weymouth, MA 02190-2664
Phone Number
781-337-7500
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
Yes
Other Names
Genesis Iliana Guerrero (Former Name)
Provider Enumeration Date
January 7, 2025
Last Update Date
January 7, 2025
Certification Date
January 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Wildcat Way
Weymouth, MA 02190-2664
Zip
02190-2664
Phone Number
781-337-7500
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
13 Huntress Ave
Brockton, MA 02302-3934
City
Brockton
State
MA
Zip
02302-3934
Phone Number
857-212-2025

License Information

License Number
127872
License State
MA
Taxonomy
Social Worker, School · 1041S0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Genesis I Peguero, MSW, LICSW?

The NPI number of Genesis I Peguero, MSW, LICSW is 1518777119. It was assigned on January 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Genesis I Peguero, MSW, LICSW?

Genesis I Peguero, MSW, LICSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 127872.

Where does Genesis I Peguero, MSW, LICSW practice?

The practice location is 1 Wildcat Way, Weymouth, MA 02190-2664. The office can be reached at 781-337-7500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518777119 directly on the NPPES registry website.

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