Provider Demographics
NPI:1881022119
Name:AKRIGG, PEGGY (MSW, LMSW)
Entity type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:
Last Name:AKRIGG
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:MRS
Other - First Name:PEGGY
Other - Middle Name:JANE
Other - Last Name:HAARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSW
Mailing Address - Street 1:17659 COSTELLO ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1704
Mailing Address - Country:US
Mailing Address - Phone:586-770-2465
Mailing Address - Fax:
Practice Address - Street 1:8076 21 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-4310
Practice Address - Country:US
Practice Address - Phone:586-770-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010674441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical