JENNIFER PECK LCSW
NPI 1043786031
Social Worker in Newport, PA

Active since October 17, 2018Opted out of Medicare · through Mar 11, 2028
28 W SHORTCUT RD, NEWPORT, PA 17074(717) 567-3524(717) 567-3581 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Oct 17, 2018 (2 updates tracked since 2018).

About Jennifer Peck Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER PECK LCSW (NPI 1043786031) is an individual social worker in Newport, Pennsylvania, licensed in Pennsylvania (CW022634) and active in the NPI registry since October 2018. She has opted out of Medicare through March 11, 2028.

NPPES Registry Identity

NPI1043786031
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER PECKCredential: LCSW
Location Address28 W SHORTCUT RDNewport, PA 17074-8721
Mailing Address28 W Shortcut RdNewport, PA 17074-8721 · (717) 567-3524 · Fax (717) 567-3581
Fax(717) 567-3581
Sole ProprietorYes
Enumeration DateOctober 17, 2018
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
NPI 1043786031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in PA · CW022634
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
28 W SHORTCUT RD, Newport, PA 17074

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Peck Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2024 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2024
Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
28 W SHORTCUT RD
NEWPORT, PA 17074
Social Worker
28 W SHORTCUT RD
NEWPORT, PA 17074
Counselor (Professional)
28 W SHORTCUT RD
NEWPORT, PA 17074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Peck's NPI number?

The NPI number for Jennifer Peck is 1043786031. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Jennifer Peck located?

Jennifer Peck practices at 28 W Shortcut Rd, Newport, PA 17074. The listed phone number is (717) 567-3524.

What is Jennifer Peck's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Peck enrolled in Medicare?

No. Jennifer Peck has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Peck was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.