Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emma Peck

Individual provider Social Worker · NPI 1881361467

Emma Peck is a Clinical Social Worker in Saint Clair Shores, Michigan. Qualified in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

21611 E 11 Mile Rd
Saint Clair Shores, MI 48081-1636
Phone: (586) 914-2653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801117769 (MI)
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1881361467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address21611 E 11 Mile Rd, Saint Clair Shores, MI 48081-1636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Saint Clair Shores