Individual provider

Peter Kennedy, LCSW

Clinical Social Worker Counselor

Peter Kennedy, LCSW is a provider specialising in Clinical Social Worker in Rancho Cucamonga, CA, registered under NPI 1821221250. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9500 HAVEN AVE, Rancho Cucamonga, CA 91730. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9500 HAVEN AVE, Rancho Cucamonga, CA 91730 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
82504 CA Clinical Social Worker primary
M-08172 NM Counselor

Licences are recorded in 2 states: CA, NM. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: California and New Mexico. The practice address on file is in Rancho Cucamonga, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
82504
Specialty
Clinical Social Worker
Verify with the CA board →
NM New Mexico
Licence
M-08172
Specialty
Counselor
Verify with the NM board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1041C0700X Clinical Social Worker Clinical 82504 CA primary
101Y00000X Counselor M-08172 NM

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1821221250 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 2, 2009
Last updatedMay 22, 2018
StatusActive
Sole proprietorNo
CredentialLCSW
Practice address 9500 HAVEN AVE
Rancho Cucamonga, CA 91730
(909) 433-1276
Mailing address 933 BRADBURY DR SE STE 2222
Albuquerque, NM 87106
This record was last updated on May 22, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1821221250 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 2 1 2 2 1 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 4 1 4 2 2 2 1

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1821221250?
NPI 1821221250 is the National Provider Identifier assigned to Peter Kennedy, LCSW in Rancho Cucamonga, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact Peter Kennedy, LCSW?
The phone number on file with NPPES is (909) 433-1276, last updated May 22, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1821221250 a valid number?
Yes. 1821221250 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.