AMY H PECK (NPI# 1649286527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649286527 |
| Entity Type | Individual |
| Full Name | AMY H PECK |
| Credential | LCSW-C |
| Practice Address |
1501 Sulgrave Ave 202 Baltimore MD 21209-3654 |
| Practice Telephone | 4105788050 |
| Practice Fax Number | 4105788050 |
| Mailing Telephone | 4105788050 |
| Mailing Fax Number | 4105788050 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10388 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | VALUE OPTIONS | 161544 | 01 |
| MD | COMPSYCH | 225024 | 01 |
| MD | CAREFIRST | QG60 | 01 |
| MD | CAREFIRST DC, BLUECHOICE | 8103 | 01 |
| MD | UNITED BEHAVIORAL HEALTH | 87726 | 01 |
| MD | APS | 158006 | 01 |
| MD | KAISER | 8665308778 | 01 |
| MD | MAGELLAN | QG60 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170682 | Amy Samantha Peck | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-08-20 |
| 1912141292 | Amy L Peck | Specialist/Technologist, Other | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2009-04-30 |
| 1588801252 | Amy Gwen Peck | Dietitian, Registered | 223 Katonah Ave, Suite F, Katonah, NY 10536-2146 | 2009-01-16 |
| 1538267315 | Amy Marie Peck | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-09-20 |
| 1134138415 | Amy Michele Peck | Kinesiotherapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-08-05 |
| Street Address |
1501 SULGRAVE AVE 202 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050747 | Anne C Lewis | Psychiatry & Neurology | 1501 Sulgrave Ave, Suite 205, Baltimore, MD 21209-3654 | 2005-08-16 |
| 1962977769 | Richard M Roth | Social Worker | 1501 Sulgrave Ave, Baltimore, MD 21209-3654 | 2018-10-08 |
| 1952838260 | Erich Kauffman | Counselor | 1501 Sulgrave Ave, Baltimore, MD 21209-3654 | 2017-05-17 |
| 1184169674 | Jill L Minsky | Social Worker | 1501 Sulgrave Ave, Suite 200, Baltimore, MD 21209-3654 | 2016-12-20 |
| 1740731199 | Andrew B. Bertell, Lcsw-c | Community/Behavioral Health | 1501 Sulgrave Ave, Suite 208, Baltimore, MD 21209 | 2016-10-20 |
| 1295180487 | Mount Washington Physical Therapy, LLC | Clinic/Center | 1501 Sulgrave Ave, Suite 307, Baltimore, MD 21209-3654 | 2016-04-26 |
| 1962882647 | Mount Washington Physical Therapy, LLC | Clinic/Center | 1501 Sulgrave Ave, Suite 307, Baltimore, MD 21209-3654 | 2015-06-08 |
| 1629467428 | First Step Chiropractic, LLC | Chiropractor | 1501 Sulgrave Ave, Suite 302, Baltimore, MD 21209-3654 | 2015-01-16 |
| 1033550595 | Pamela Joyce Woodward | Chiropractor | 1501 Sulgrave Ave, Suite 302, Baltimore, MD 21209-3654 | 2013-07-12 |
| 1275837007 | Kara B Bolling | Social Worker | 1501 Sulgrave Ave, Suite 209, Baltimore, MD 21209 | 2011-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 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 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| Find all providers in BALTIMORE | ||||
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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.