Kerry Ann Peck is a Clinical in Sandy, Utah. Kerry Ann Peck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry Ann Peck is 1295761518. The last update date is 2010-06-09.
Kerry Ann Peck's current location address is 10236 Willow Bank Cir, Sandy, Utah. You can contact this provider via phone number 8015728936. The mailing address for Kerry Ann Peck is 10236 Willow Bank Cir, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Ann Peck |
|---|---|
| Address | 10236 Willow Bank Cir, Sandy, Utah |
| Phone Number | 8015728936 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295761518 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2010-06-09 |
Provider Mailing Address Detail
| Address | 10236 Willow Bank Cir |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840704210 |
| Phone Number | 8015728936 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3210653501 |
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Definition: 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, certif |
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What is the unique identifier code issued to Kerry Ann Peck by the Centers for Medicare & Medicaid Services (CMS)?
The Kerry Ann Peck has been assigned the NPI (National Provider Identifier) 1295761518. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kerry Ann Peck's physical address?
The Kerry Ann Peck is physically located at 10236 Willow Bank Cir, in the city of Sandy, UT, with the postal code 840704210.
What is the area of specialization for Kerry Ann Peck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kerry Ann Peck is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Kerry Ann Peck receive its 1295761518 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Ann Peck was assigned its 1295761518 on 2006-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kerry Ann Peck most recently updated?
The details pertaining to the Kerry Ann Peck, including its address, specialty, and other relevant information, were last refreshed on 2010-06-09.
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