CHARLES A PECK (NPI# 1942703608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942703608 |
| Entity Type | Individual |
| Full Name | CHARLES A PECK |
| Practice Address |
180 Fairfield Ave Bridgeport CT 06604 |
| Mailing Address |
180 Fairfield Ave Bridgeport CT 06604-4252 |
| Practice Telephone | 2033946529 |
| Mailing Telephone | 2033946529 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Ferry Blvd Ste 204, Stratford, CT 066156079 | 2033781654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912205840 | Charles A Peck | Clinic/Center | 10901 W 120th Ave, Broomfield, CO 80021-3418 | 2011-03-01 |
| 1063446664 | Charles Curtis Peck | Pharmacist | Us Route 220, Tipton, PA 16684 | 2006-07-10 |
| 1922210426 | Charles Jeffery Peck | Psychiatry & Neurology | 2135 Southgate Road, Colorado Springs, CO 80906-2605 | 2007-05-04 |
| Street Address |
180 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659431518 | The Child and Family Guidance Center, Inc. | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2006-12-11 |
| 1770180002 | Giancarlo Bravo-laguna | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2020-10-09 |
| 1649883943 | Mia Wilson | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2020-08-26 |
| 1669021218 | Betsy Rivera Ruiz | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-09-06 |
| 1043862360 | Shannon Marie Ryan | Social Worker | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-07-16 |
| 1588225395 | Helen Bonserio | Case Manager/Care Coordinator | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-06-24 |
| 1386106011 | Luciene Coretta Cummings | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-04-02 |
| 1184182784 | Yuvanda Brown | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-03-04 |
| 1104382993 | Bianca Cummings | Counselor | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-02-16 |
| 1801350236 | Elizabeth Nieves | Marriage & Family Therapist | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1063031144 | Andrea Servan | Social Worker | 255 Dayton Rd, Bridgeport, CT 06606-3116 | 2020-04-09 |
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1841856739 | Kathleen Gray Chaney | Social Worker | 65 Professional Pl Ste And103, Bridgeport, WV 26330-0258 | 2019-05-15 |
| 1457916405 | Amber Rose Snyder | Social Worker | 65 Professional Pl, Bridgeport, WV 26330-0258 | 2019-05-06 |
| 1578020624 | Allegra Straus | Social Worker | 240 Wilson St, Bridgeport, CT 06605-2913 | 2019-02-25 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1366945701 | Crystal Aldophe | Social Worker | 2675 Park Ave Unit 6, Bridgeport, CT 06604-1357 | 2018-03-12 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1275983371 | Kizzy Kai Jeter-wilcox | Social Worker | 1492 North Ave, Apt 105, Bridgeport, CT 06604-2663 | 2016-06-20 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on CHARLES A PECK.
| 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.