Individual provider · Type 1 NPI

Charles A. Peck, LCSW

Clinical Social Worker · Bridgeport, CT

NPI number 1942703608 Active

Practice location

180 Fairfield Ave
Bridgeport, CT 06604

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	None listed
Clinical Social Worker Primary	1041C0700X	011789 (CT)

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 1942703608

Charles A. Peck, LCSW's National Provider Identifier is 1942703608, issued on Mar 8, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeport, CT. The record was last updated on Nov 22, 2024.