Patricia J Peltz, M.A., M.S.W., ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801062626 Issued in MI

Practice address

1100 Ludington St
Suite 303
Escanaba, MI 49829-3542

Phone

(906) 786-4733

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

Practice roles

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

• Fellowship Counseling P.C.

  • Marriage & Family Therapist
  • Escanaba, MI
  • NPI 1093907503
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1487731428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST STE 303",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293500",
            "telephone_number": "906-786-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST",
            "address_2": "SUITE 303",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293542",
            "telephone_number": "906-786-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "M.A., M.S.W., ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "800897137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Gayeff OD PC
• Eric John Paulitch
• Amber Lynn Pavlat, COTA/L
• Peach Blossom Therapy and Consultation Services, PLLC
• Monica Peach
• Peninsula Pharmacy Escanaba LLC
• Jeffrey Pepin
• David Perry, DDS
• Gloria Lynn Peterson, PA
• Donald Pfotenhauer, DDS

• Clinical Social Worker in Escanaba, MI
• Providers in Escanaba, 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 Oct 5, 2012; 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.