Individual provider Active NPI

Carolyn Marie Peck, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1881209948
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11061 Issued in NM
Practice address
2741 Indian School Rd NE
Albuquerque, NM 87106-2653
Phone
(505) 803-0013
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11061 NM Primary

Addresses

Primary practice location

2741 Indian School Rd NE
Albuquerque, NM 87106-2653

Mailing address

4714 Crest Ave SE
Albuquerque, NM 87108-4507
Phone (505) 803-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505002928 NM Practitioner - Clinical Social Worker 2668999517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acceptance LLCGroup PAC ID 0143671107, 6 clinicians

Practice addresses (Care Compare)

500 Marquette Ave NW
Suite 360
Albuquerque, NM 87102-5317
Phone (505) 557-4656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-11061NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acceptance LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients
Peck Counseling, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

500 Marquette Ave NW
Ste 360
Albuquerque, NM 87102
Phone (505) 557-4656

1500 Mountain Rd NW
Albuquerque, NM 87104
Phone (505) 557-4656

2741 Indian School Rd NE
Albuquerque, NM 87106
Phone (505) 255-8682

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1881209948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 CREST AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084507",
            "telephone_number": "505-803-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062653",
            "telephone_number": "505-803-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.