What is Eric Pegnam's NPI number?

Eric Pegnam's National Provider Identifier (NPI) is 1053595389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Eric Pegnam's specialty?

Eric Pegnam is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Eric Pegnam located?

Eric Pegnam's practice location on file with NPPES is 77b Warren St, Boston, MA 02135-3601.

What is Eric Pegnam's phone number?

The practice phone number listed in the NPPES registry for Eric Pegnam is (617) 787-1901.

Is Eric Pegnam's NPI active?

Yes — Eric Pegnam's NPI (1053595389) is active in the NPPES registry as of the last update on 2007-12-21.

IndividualActive

Eric Pegnam, LICSW

NPI 1053595389 · Clinical Social Worker · Boston, MA

Eric Pegnam, LICSW is a Clinical Social Worker provider in Boston, MA (NPI 1053595389).

Provider details

NPI number: 1053595389
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW
Sex: Male
Sole proprietor: No
License: 111234 (MA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 111234 (MA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

77b Warren St

Boston, MA 02135-3601

Phone: (617) 787-1901

Fax: (617) 254-3461

Street-level locationGet directions

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Mailing address