Deborah Peckham, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1031065 Issued in MA

Practice address

57A Indian LN
Canton, MA 02021-3540

Phone

(617) 970-6681

Fax

(781) 989-4772

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306982798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57A INDIAN LN",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213540",
            "telephone_number": "617-970-6681",
            "fax_number": "781-989-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57A INDIAN LN",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213540",
            "telephone_number": "617-970-6681",
            "fax_number": "781-989-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "DEBORAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "P07929",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher L Pierce, LICSW
• Cassandra Melissa Pierre-Louis

• Clinical Social Worker in Canton, MA
• Providers in Canton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.