Individual
AMY H PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1501 SULGRAVE AVE, 202, BALTIMORE, MD 21209-3654
(410) 578-8050
(410) 578-8050
Mailing address
1501 SULGRAVE AVE, 202, BALTIMORE, MD 21209-3654
(410) 578-8050
(410) 578-8050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10388
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158006
APS
MD
01
—
161544
VALUE OPTIONS
MD
01
—
225024
COMPSYCH
MD
01
—
8103
CAREFIRST DC, BLUECHOICE
MD
01
—
8665308778
KAISER
MD
01
—
87726
UNITED BEHAVIORAL HEALTH
MD
01
—
QG60
MAGELLAN
MD
Enumeration date
07/31/2006
Last updated
11/04/2011
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