SUZANNE NICOLE PEKAREK LMSW NPI 1558559963

NPI Information

NPI: 1558559963
Provider Name: SUZANNE NICOLE PEKAREK, LMSW
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
123 TRUXTON AVE
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-1530
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Suzanne Nicole Pekarek, LMSW is a specialist in Fort Walton Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Suzanne Nicole Pekarek, LMSW NPI is 1558559963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

123 TRUXTON AVE
FORT WALTON BEACH, FL
ZIP 32547-460
Phone: (850) 863-1530
Fax: (850) 863-5548

The enumeration date for this NPI number is 10/10/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APPLICATION	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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