Active NPI
Kaley Peck
- Social Worker
- Erie, PA
National Provider Identifier
1942977392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW137896
- Practice address
- 1621 Sassafras St
Erie, PA 16502-1858 - Phone
- (814) 823-2513
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW137896 | PA | Primary |
Addresses
Primary practice location
1621 Sassafras St
Erie, PA 16502-1858
Mailing address
1621 Sassafras Street
Erie, PA 16502
Phone (814) 882-1039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW137896 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Gertrude a Barber Center Inc | Current | Accepting new patients |
Locations
1621 Sassafras St
Erie, PA 16502
Phone (814) 453-7661
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/barberinstitute/r4/
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1942977392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 SASSAFRAS STREET",
"city": "ERIE",
"state": "PA",
"postal_code": "16502",
"telephone_number": "814-882-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 SASSAFRAS ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858",
"telephone_number": "814-823-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "KALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW137896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
- Peach Street Dental & Dentures, PC. (Peach Street Dental & Dental)
- Peak Performance Sports and Family Medicine LLC
- Lois Ann Pearo, M.A.
- Kathleen Evelyn Pearson, SLP
- Teylor Morgan Pearson
- Melissa Kaye Peck, LPC
- Stephanie Nicole Peck, DO
- Pediatria Healthcare, LLC (Aveanna Healthcare)
- Pediatric Cardiology of Erie
- Pediatric Care Center of Erie, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.