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CHARLES A PECK LCSW
NPI 1942703608
Social Worker - Clinical in Bridgeport, CT

Active since March 08, 2018
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604(203) 394-6529 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Jun 21, 2018, Mar 8, 2018 (3 updates tracked since 2018).

About Charles A Peck Lcsw NPPES

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

CHARLES A PECK LCSW (NPI 1942703608) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (011789) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1942703608
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES A PECKCredential: LCSW
Location Address180 FAIRFIELD AVEBridgeport, CT 06604
Mailing Address180 Fairfield AveBridgeport, CT 06604-4252 · (203) 394-6529
Phone(203) 394-6529
Sole ProprietorNo
Enumeration DateMarch 8, 2018
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1942703608 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 CT · 011789
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
180 FAIRFIELD AVE, Bridgeport, CT 06604
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Other Providers at the Same Location NPPES 20

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

KIMBERLY ANNE FOSTER LCSW
Social Worker (School)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (201) 317-2065
THE CHILD AND FAMILY GUIDANCE CENTER
Community/Behavioral Health
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529
CAMRYN DEBOSE
Student in an Organized Health Care Education/Training Program
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529
SHANNON MARIE RYAN
Social Worker
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529
KEILA CRUZ
Marriage & Family Therapist
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 683-8671
ALLEANA A MELENDEZ-MARTINEZ
Marriage & Family Therapist
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529
CHRISTINE ELLEN MCCABE MSW INTERN
Social Worker (Clinical)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529
KEYLA MICHELLE ORTIZ M.S.
Counselor (Mental Health)
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 394-6529

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 Charles Peck's NPI number?

The NPI number for Charles Peck is 1942703608. It was assigned to this individual provider in the NPPES registry on March 8, 2018.

Where is Charles Peck located?

Charles Peck practices at 180 Fairfield Ave, Bridgeport, CT 06604. The listed phone number is (203) 394-6529.

What is Charles Peck's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Peck was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.