Organization Active NPI

Sara Walker-Peck, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1780214676
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SARA WALKER-PECK, LCSW
Practice address
26 Court St Ste 1906
Brooklyn, NY 11242-1119
Phone
(860) 966-9192
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Walker
Title
LCSW-R
Phone
(860) 966-9192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

26 Court St Ste 1906
Brooklyn, NY 11242-1119

Mailing address

26 Court St Ste 1906
Brooklyn, NY 11242-1119

Other identifiers 1

IdentifierTypeStateIssuer
1841575842OtherNYNPI

National Provider Directory

National Provider Directory

Locations

26 Court St
Ste 1906
Brooklyn, NY 11242
Phone (860) 966-9192

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1780214676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1906",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1906",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421119",
            "telephone_number": "860-966-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA WALKER-PECK, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "LCSW-R",
        "authorized_official_telephone_number": "860-966-9192"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841575842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.