Active NPI
Leah M Peck, LGSW
- Social Worker
- Fairmont, WV
National Provider Identifier
1679486955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00947362
- Practice address
- 51 Southland Dr
Fairmont, WV 26554-0129 - Phone
- (304) 704-3885
- NPI assigned
- Sep 25, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00947362 | WV | Primary |
Addresses
Primary practice location
51 Southland Dr
Fairmont, WV 26554-0129
Mailing address
PO Box 164
Gypsy, WV 26361-0164
Phone (304) 594-8447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1679486955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "GYPSY",
"state": "WV",
"postal_code": "263610164",
"telephone_number": "304-594-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SOUTHLAND DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265540129",
"telephone_number": "304-704-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "LEAH",
"middle_name": "M",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00947362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.