Sheila Peck

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0232811 Issued in NY

Legal business name

SHEILA PECK

Practice address

1010 California PL S
Island Park, NY 11558

Phone

(516) 889-2688

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila Peck, LCSW

Title

Sole Propietor

Phone

(516) 889-2688

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154535748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CALIFORNIA PL S",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CALIFORNIA PL S",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558",
            "telephone_number": "516-889-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA PECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "516-889-2688",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0232811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Schrank, DPT
• Seaside Physical Therapy P.C.
• Serenity Zone LCSW PLLC
• Serenity Zone LCSW PLLC
• Robert Serwetz, M. ED.
• Solo Care
• Conchita Solomon, OTR/L
• South Island Family Medical, LLC
• Karen Tabin
• James Vincent Thorne, DDS

• Clinical Social Worker in Island Park, NY
• Providers in Island Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.