Abigail A Peck, LMSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801112454 Issued in MI

Practice address

800 Cottageview Dr Ste 1080B
Traverse City, MI 49684-2496

Phone

(231) 632-0416

NPI assigned

Apr 2, 2019

Last updated

Jul 27, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abigail Peck, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Traverse City, MI
  • NPI 1780339366
  NPD Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1326500935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR STE 1080B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842496",
            "telephone_number": "231-442-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR STE 1080B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842496",
            "telephone_number": "231-632-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ABIGAIL",
        "middle_name": "A",
        "credential": "LMSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Peacock, R.N.C., W.H.N.P.
• Marianne Peacock, NP
• Justine Pearl, M.D.
• Pearson Afc- Munson House
• Chrystie Pearson, DPT
• Greta Peck, PA-C
• Lisa Peck, CPRM
• Taylor Peck, RBT
• Breanne Ashly Pedersen
• Madison Noelle Pedlar

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.