Active NPI
Carolyn E Peck, MSW
- Clinical Social Worker
- Topeka, KS
National Provider Identifier
1598721573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW 781
- Practice address
- 2200 SW Gage Blvd
Topeka, KS 66622-0001 - Phone
- (785) 350-3111
- Fax
- (785) 350-4471
- NPI assigned
- Apr 26, 2006
- Last updated
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSCSW 781 | KS | Primary |
Addresses
Primary practice location
2200 SW Gage Blvd
Topeka, KS 66622-0001
Mailing address
2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone (785) 350-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 781 | KS | MD | Clinical Social Worker |
| 781 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astra Mental Health and Recovery, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Topeka, KS
- NPI 1366972879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1598721573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666220001",
"telephone_number": "785-350-3111",
"fax_number": "785-350-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666220001",
"telephone_number": "785-350-3111",
"fax_number": "785-350-4471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "CAROLYN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW 781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
- Peak Physical Therapy PA
- Claire Pearl, ARNP
- Michael Pearl
- Pearlie Mae's Compassion and Care
- Brooks M Peavler, APRN
- Valerie Peckham, LCP
- Pediatric Associates of Topeka, P.a.
- Pediatric Care Irrv Trust (PediatricCare)
- Pediatric Connections Occupational Therapy Services, P.a.
- Caedran Peete, MSN, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.