Provider Demographics
NPI:1275256570
Name:PEAVEY, MARIAH (LCSWA)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:PEAVEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 CREEK CROSSING TRL
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9259
Mailing Address - Country:US
Mailing Address - Phone:571-594-1110
Mailing Address - Fax:
Practice Address - Street 1:861 CREEK CROSSING TRL
Practice Address - Street 2:
Practice Address - City:WHITSETT
Practice Address - State:NC
Practice Address - Zip Code:27377-9259
Practice Address - Country:US
Practice Address - Phone:571-594-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical