DR. EDWARD PECUKONIS (NPI# 1003291493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003291493 |
| Entity Type | Individual |
| Full Name | DR. EDWARD PECUKONIS |
| Credential | MSW, PH.D. |
| Practice Address |
3244 Danmark Dr Glenwood MD 21738-9415 |
| Practice Telephone | 4104931530 |
| Mailing Telephone | 4104931530 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
04642 | MD | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 04642 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3244 DANMARK DR |
| City | GLENWOOD |
| State | MD |
| Zip Code | 21738-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053881615 | Kristi Joy Nester | Speech-Language Pathologist | 1460 Carrs Mill Road, Glenwood, MD 21738 | 2018-11-27 |
| 1598134728 | Hillary J Scott | Speech-Language Pathologist | 3750 A Shady Lane, Glenwood, MD 21738 | 2015-09-17 |
| 1962653188 | East Coast Anesthesia Inc. | Clinic/Center | 3231 Huntersworth Way, Glenwood, MD 21738 | 2008-10-07 |
| 1073723672 | Paul Gittings Ensor | Contractor | 14630 Burntwoods Rd, Glenwood, MD 21738-0130 | 2007-05-23 |
| 1366588428 | George Ho | Emergency Medicine | 3614 Broadleaf Ct, Glenwood, MD 21738-9330 | 2007-01-29 |
| 1306004411 | Amy F. Potler | Occupational Therapist | 3638 Sharp Rd, Glenwood, MD 21738-9505 | 2008-05-26 |
| 1972849107 | John Wesley Wisor | Psychologist | 3307 Saddle Horse Ct, Glenwood, MD 21738-9526 | 2012-12-16 |
| 1396272928 | Min S Kwon | Pharmacist | 14347 Musgrove Farm Ct, Glenwood, MD 21738-9535 | 2017-05-13 |
| 1326419953 | Megan Crenshaw | Speech-Language Pathologist | 3750a Shady Ln, Glenwood, MD 21738-9539 | 2015-10-08 |
| 1538658018 | Loretta M Waite | Occupational Therapist | 3750a Shady Ln, Glenwood, MD 21738-9539 | 2018-05-09 |
| Find all providers in zip 21738 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1750842399 | Diane Scruggs | Social Worker | 338 S Dante Ave, Glenwood, IL 60425-2044 | 2019-03-27 |
| 1588939003 | Dabrene P Goree | Social Worker | 1122 W Iowa St, Glenwood, IL 60425-1025 | 2012-03-16 |
| 1831624030 | Laura Goraczkowski | Social Worker | 100 17th Ave Nw, Suite 2, Glenwood, MN 56334-2159 | 2017-04-25 |
| 1750516027 | Jerri Shankler Msw Lcsw Lcadc | Social Worker | 25 Valley Dr, Glenwood, NJ 07418-1657 | 2009-05-15 |
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| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.