Physician Compare National (NPI:1104965581)

HEALTHCARE PROVIDER: TOBI ELIZABETH PECK L.CSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104965581
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284858374
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140611000539
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PECK
	Individual professional last name
Provider First Name	TOBI
	Individual professional first name
Provider Middle Name	ELIZABETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	26 COURT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 410
	Group Practice or individual's line 2 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112421134
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2126133006
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y