ELIZABETH PECK (NPI# 1184822751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184822751 |
| Entity Type | Individual |
| Full Name | ELIZABETH PECK |
| Credential | LSW |
| Practice Address |
655 E Jersey St Dept. Behavioral Health & Psychiatry Elizabeth NJ 07206-1259 |
| Practice Telephone | 9089945000 |
| Practice Fax Number | 9089945000 |
| Mailing Telephone | 9089945000 |
| Mailing Fax Number | 9089945000 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 46TR00041400 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 46TR00041400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438106 | Elizabeth Rose Peck | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-10-08 |
| 1669988259 | Elizabeth Peck | Occupational Therapist | 675 3rd Ave, New York, NY 10017-5704 | 2017-12-19 |
| 1972012888 | Elizabeth Rae Peck | Technician | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2017-09-22 |
| 1497994933 | Elizabeth Stacey Peck | Dietitian, Registered | 420 Delaware St Se, Mmc 84, Minneapolis, MN 55455-0341 | 2009-02-06 |
| 1265624464 | Elizabeth Joann Peck | Physical Therapist | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2007-08-13 |
| 1053520072 | Elizabeth Peck | Registered Nurse | 5901 Zuni Rd Se, Albuquerque, NM 87108-3073 | 2007-05-22 |
| 1144308651 | Elizabeth C Peck | Pharmacist | 201 W. Avalon Avenue, Shoals Hospital Dept of Pharmacy, Muscle Shoals, AL 35661 | 2006-11-01 |
| 1295779825 | Elizabeth Peck | Registered Nurse | 8320 Madison Ave, Indianapolis, IN 46227 | 2006-06-15 |
| 1093787996 | Elizabeth Peck | Nurse Practitioner | 181 Main St, Rowley, MA 01969-1504 | 2006-02-03 |
| 1902898950 | Elizabeth K. Peck | Family Medicine | 3601 4th St, Suite 1c143, Lubbock, TX 79430-8143 | 2005-08-16 |
| Street Address |
655 E JERSEY ST DEPT. BEHAVIORAL HEALTH & PSYCHIATRY |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07206-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129802 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2005-07-26 |
| 1619580032 | Nariman Konjkavfard | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-25 |
| 1316559347 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-20 |
| 1497367528 | Orrin Paul Main | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-19 |
| 1750993010 | Benedict Nagar Garma | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-18 |
| 1235741596 | Anup Ojha | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-18 |
| 1275142416 | Siddhi Ganesha Inc | Pharmacy | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-07-23 |
| 1639703663 | Melanie Anne Andrade-ramos | Social Worker | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-02-28 |
| 1871137356 | Shirley Messina | Nurse Practitioner | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2019-10-29 |
| 1558915496 | Andre D Trzaskowski | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2019-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
| 1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
| 1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
| Find all providers in zip 07206 | ||||
| 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 |
|---|---|---|---|---|
| 1609410513 | Yaminah Polanco | Social Worker | 371 Morris Ave, Elizabeth, NJ 07208-3616 | 2019-11-04 |
| 1851866016 | Michael Bleicher | Social Worker | 153 Keats Ave, Elizabeth, NJ 07208-1051 | 2018-10-03 |
| 1407373939 | Elizabeth Moree | Social Worker | 650 E Walnut Unit C, Elizabeth, CO 80107-4519 | 2017-08-25 |
| 1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
| 1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
| 1083091896 | Monica Armijo | Social Worker | 650 E. Walniut, Elizabeth, CO 80701 | 2015-04-30 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1972932457 | Anne Kate Sherman | Social Worker | 750 N Broad St, Apt. 1c, Elizabeth, NJ 07208-2468 | 2013-11-05 |
| 1558799841 | Kristen Allen | Social Worker | 629 Livingston St, Elizabeth, NJ 07206-1325 | 2013-10-23 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in ELIZABETH | ||||
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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.