BRIAN PECK (NPI# 1447537436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447537436 |
| Entity Type | Individual |
| Full Name | BRIAN PECK |
| Credential | LMSW |
| Practice Address |
2076 S Eagle Rd Meridian ID 83642-6707 |
| Practice Telephone | 2088606675 |
| Practice Fax Number | 2089557330 |
| Mailing Telephone | 2089557333 |
| Mailing Fax Number | 2089557330 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-31616 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479443 | Brian Richard Peck | Dentist | 451 Elm Ave, Haddonfield, NJ 08033-2644 | 2007-10-18 |
| 1417982828 | Brian W Peck | Optometrist | 425 So 2nd St, Midwest Vision Clinic Plc, Clinton, IA 52732 | 2006-07-12 |
| 1720622830 | Brian Peck | Chiropractor | 2428 Santa Monica Blvd Ste 308, Santa Monica, CA 90404-2046 | 2019-10-31 |
| 1356743223 | Brian Peck | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2014-09-22 |
| 1629036868 | Brian Peck | Internal Medicine | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2006-05-03 |
| Street Address |
2076 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1558776740 | Jonathan Morgan | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2014-06-25 |
| 1720326986 | Laura Learned | Speech-Language Pathologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2013-01-23 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1821359522 | Ann Marie Corey | Nurse Practitioner | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-30 |
| 1841550423 | Molly Marie Brady | Student in an Organized Health Care Education/Training Program | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-17 |
| 1982963393 | Michael Mccaleb | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-07 |
| 1053679985 | Michael Brinker | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-04-28 |
| 1013223445 | Northwest Neurobehavioral Health, LLC | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2010-08-23 |
| 1194053066 | Deana M Zamzow | Occupational Therapist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2009-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697749 | Ashley Weiss | Social Worker | 973 S Brook Trout Way, Meridian, ID 83642-7745 | 2020-10-21 |
| 1962019513 | Jessica Rose Crocker-oswald | Social Worker | 13 E Ada Ave, Meridian, ID 83642-2725 | 2020-09-28 |
| 1578034690 | Alexis Staeb | Social Worker | 3023 E Copper Point Dr Ste 105, Meridian, ID 83642-9290 | 2018-12-16 |
| 1730697111 | Brittany A Baker | Social Worker | 1944 Old Wire Rd, Meridian, MS 39301-8321 | 2018-01-18 |
| 1386155810 | Caitlin Elizabeth Lanier | Social Worker | 1833 S Millenium Way, Meridian, ID 83642-1510 | 2017-10-24 |
| 1841716511 | June Ellen Boucher | Social Worker | 1287 E Drucker St, Meridian, ID 83642-4031 | 2017-08-15 |
| 1639605694 | Joshua Randall Grade | Social Worker | 1322 W Verbena Dr, Meridian, ID 83642-1238 | 2017-05-11 |
| 1417333469 | Jennifer Kopec | Social Worker | 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 | 2015-07-31 |
| 1265838601 | Amanda Sue Helsley | Social Worker | 3525 E. Louise Dr. Suite 500, Meridian, ID 83642 | 2014-11-12 |
| 1912307737 | Stephanie Abney | Social Worker | 524 E Havasu Falls St, Meridian, ID 83646-6397 | 2014-08-28 |
| Find all providers in MERIDIAN | ||||
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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.