EMMA PECK
NPI 1881361467
Social Worker - Clinical in Saint Clair Shores, MI

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081(586) 914-2653 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, Jul 1, 2024, Mar 9, 2022 and 1 more (4 updates tracked since 2021).

About Emma Peck NPPES

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

EMMA PECK (NPI 1881361467) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (6801117769) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881361467
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMMA PECK
Location Address21611 E 11 MILE RDSaint Clair Shores, MI 48081-1636
Mailing Address21611 E 11 Mile RdSaint Clair Shores, MI 48081-1636 · (586) 914-2653
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2021
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1881361467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801117769
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
21611 E 11 MILE RD, Saint Clair Shores, MI 48081

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emma Peck is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880190222
PECOS Enrollment IDI20251003001082
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emma Peck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
1460 WALTON BLVD STE 60
Rochester Hills, MI 48309
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Counselor (Professional)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Clinic/Center (Adult Mental Health)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Social Worker
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Social Worker (Clinical)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Counselor (Mental Health)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Counselor (Professional)
21611 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Emma Peck's NPI number?

The NPI number for Emma Peck is 1881361467. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Emma Peck located?

Emma Peck practices at 21611 E 11 Mile Rd, Saint Clair Shores, MI 48081. The listed phone number is (586) 914-2653.

What is Emma Peck's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Emma Peck enrolled in Medicare?

Yes. Emma Peck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emma Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Peck reassigns Medicare benefits to Tree Of Life Counseling Services LLC (Rochester Hills, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Peck accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Emma Peck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emma Peck was last updated on August 5, 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.