Individual provider Active NPI

Monica Peck, M.S.W., LCSW#26360

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1861716490
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26360 Issued in CA
Practice address
3838 San Dimas St
Ste A100
Bakersfield, CA 93301-2286
Phone
(661) 377-2250
Fax
(661) 327-5432
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW26360 CA
Clinical Social Worker 1041C0700X 26360 CA Primary

Addresses

Primary practice location

3838 San Dimas St
Ste A100
Bakersfield, CA 93301-2286

Mailing address

3838 San Dimas St
Ste A100
Bakersfield, CA 93301-2286
Phone (661) 377-2250

Other identifiers 1

IdentifierTypeStateIssuer
1861716490OtherNPI

Other names 1

  • Monica Eurto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26360CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1861716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "STE A100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012286",
            "telephone_number": "661-377-2250",
            "fax_number": "661-327-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "STE A100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012286",
            "telephone_number": "661-377-2250",
            "fax_number": "661-327-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "MONICA",
        "credential": "M.S.W., LCSW#26360",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW26360",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861716490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "EURTO",
            "credential": "M.S.W., L.C.S.W.,#26",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.