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

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

Practice roles

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

• Frank W. Gibson, Jr. P.a.

  dba Bay Counseling Services

  • 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 (Aveanna Healthcare)
• 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.