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Mr. Peter Kennedy JR., LCSW
Clinical Social Worker in Rancho Cucamonga, California
NPI 1821221250

Peter Kennedy JR. is a Clinical Social Worker based in Albuquerque, CA and is specialized in Clinical. Peter Kennedy JR. practices in Rancho Cucamonga, CA and has the professional credentials of LCSW. The NPI Number for Peter Kennedy JR. is 1821221250 and holds a License No. M-08172 (California).

The current practice location address for Peter Kennedy JR. is 9500 Haven Ave, Rancho Cucamonga, CA and can be reached out via phone at 909-433-1276.

Location: 9500 Haven Ave, Rancho Cucamonga, CA, 87106-4375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821221250
Provider Name
Peter Kennedy JR.
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
9500 Haven Ave, Rancho Cucamonga, CA, 87106-4375
Phone Number
909-433-1276
Fax Number
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9500 Haven Ave
City
Rancho Cucamonga
State
California
Zip
91730
Phone Number
909-433-1276
Fax Number
person
Provider Business Mailing Address Details
Address
9500 Haven Ave
City
Rancho Cucamonga
State
California
Zip
91730
Phone Number
909-433-1276
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
82504 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
M-08172 (New Mexico)
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.
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