Mishon Peck
Individual provider Active NPI Clinical Social Worker · Naples, NY
NPI 1689415663 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1689415663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 099955 (NY)
- Practice address
- 7113 Gulick Rd
Naples, NY 14512-9129 - Phone
- (209) 614-7499
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250424000399 | NY | Practitioner - Clinical Social Worker | 8729504667 |
Reassigns benefits to 1 organization Practice locations: Canandaigua, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105902 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Mental Health | Current |
Accepting new patients |
Locations
2 Main St
Ste 2A
Plymouth, MA 02360
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 099955 | NY | Yes |
| Social Worker | 104100000X | 105902 | NY |
Addresses
Primary practice location
7113 Gulick Rd
Naples, NY 14512-9129
Mailing address
7113 Gulick Rd
Naples, NY 14512-9129
Phone (209) 614-7499
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256 ext. 49256
Other providers in Naples, NY
- Gabriel Thomas Murphy Echeverria
- Naples Ambulance Inc.
- Naples Apothecary Inc
- Naples Central School
- Naples Pharmacy, Inc.
- Petti Rehabilitation LLC
- Anna C Petti
- Poet Annarlene Rohring
- Teresa Marie Sauve
- Scott P. Waldeis, D.C., LLC
All providers in Naples, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.