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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD PECUKONIS, MSW, PH.D.

Active Sole Proprietor

DR. EDWARD PECUKONIS, MSW, PH.D. is a Clinical Social Worker healthcare provider located in GLENWOOD, Maryland. NPI 1003291493 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GLENWOOD, MD

Registration Details

NPI Number
1003291493
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2015 (10.871039673698 yrs)
Last Updated
Jul 27, 2015
Licenses
04642 (MD)
04642 (MD)
Sole Proprietor
Yes

Practice Information

Address
3244 DANMARK DR
GLENWOOD, MD, 217389415
Browse MD providers · Browse ZIP 21738
Phone
4104931530
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Behavior Analyst

Other Clinical Social Worker Providers in GLENWOOD, MD

Name Credential NPI
CLARE DONOFRIO LCSW-C 1225709132
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.