Individual provider · Type 1 NPI

Maryjane P. Peck

Clinical Social Worker · Farmington Hills, MI

NPI number 1114213071 Active

Practice location

37899 W 12 Mile Rd, Suite 130
Farmington Hills, MI 48331-3048

Mailing address

14898 Lyons St
Livonia, MI 48154-3918

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801065701 (MI)

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 1114213071

Maryjane P. Peck's National Provider Identifier is 1114213071, issued on Jun 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington Hills, MI. The record was last updated on Jun 20, 2011.