Individual provider · Type 1 NPI
Edward Pecukonis, MSW, PhD
Clinical Social Worker · Glenwood, MD
Practice location
3244 Danmark Dr
Glenwood, MD 21738-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 04642 (MD) |
| Behavior Analyst | 103K00000X | 04642 (MD) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003291493
Edward Pecukonis, MSW, PhD's National Provider Identifier is 1003291493, issued on Jul 27, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glenwood, MD. The record was last updated on Jul 27, 2015.