Philip Angelo Pecoraro, LCSW-C, DCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07894 Issued in MD

Practice address

1 E Chase St
1122
Baltimore, MD 21202-2526

Phone

(410) 327-6892

Fax

(410) 327-6893

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Frank W. Gibson, Jr. P.a.

  • Psychologist
  • Baltimore, MD
  • NPI 1063425478
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891845962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S PATTERSON PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312123",
            "telephone_number": "410-327-6892",
            "fax_number": "410-327-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CHASE ST",
            "address_2": "1122",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022526",
            "telephone_number": "410-327-6892",
            "fax_number": "410-327-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "PHILIP",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "LCSW-C, DCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Peck
• Lydia Pecker, MD
• Oluwamayomide Akwele Pecku
• Dawn R Pecora, PA-C
• Heather Straka Pecoraro
• Jennifer M Pederson, PA-C
• Pediatric Partners LLC
• Pediatric Services of America, LLC
• Pediatrix Medical Group of the Mid-Atlantic PC
• Pediatrix of Maryland PA

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.