Mr Wallace T Peake Jr, MSW, LCSWA - Clinical Social Worker in Charlotte, NC

Mr Wallace T Peake Jr, MSW, LCSWA is a Social Worker - Clinical based in Charlotte, North Carolina. Mr Wallace T Peake Jr is licensed to practice in North Carolina (license number P016244) and his current practice location is 1935 J N Pease Pl Ste 104, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at (980) 288-5486.

NPI number for Mr Wallace T Peake Jr is 1467028159 and his current mailing address is 4614 Wilgrove Mint Hill Rd # 1, Mint Hill, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467028159.

Contact Information

Mr Wallace T Peake Jr, MSW, LCSWA
1935 J N Pease Pl Ste 104,
Charlotte, NC 28262-4541
(980) 288-5486
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Wallace T Peake Jr
GenderMale
SpecialitySocial Worker - Clinical
Location1935 J N Pease Pl Ste 104, Charlotte, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467028159
  • Provider Enumeration Date: 06/02/2021
  • Last Update Date: 06/29/2021

Medical Identifiers

Medical identifiers for Mr Wallace T Peake Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467028159NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P016244 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Wallace T Peake Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Wallace T Peake Jr, MSW, LCSWA
4614 Wilgrove Mint Hill Rd # 1,
Mint Hill, NC 28227-3500

Ph: (980) 231-1937
Mr Wallace T Peake Jr, MSW, LCSWA
1935 J N Pease Pl Ste 104,
Charlotte, NC 28262-4541

Ph: (980) 288-5486

Reviews and Comments


Social Worker in Charlotte, NC

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Mr. Andre Maurice Harvey, LCSW
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Phone: 980-288-8595    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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