National Provider Identifier

Joseph I Peters Jr., LCSW-R

Joseph I Peters Jr., LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Newark, NY and a listed phone number of (315) 331-5659.

NPI 1013097559Newark, NYClinical Social Worker

Profile Overview

NPI
1013097559
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 17, 2006
Last Updated
September 12, 2014

Practice Location

  • 145 W Pearl St
  • Newark, NY 14513-1063

Phone: (315) 331-5659

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1013097559
Entity Type
Individual
Last Name
Peters
First Name
Joseph
Middle Name
I
Name Prefix
Mr.
Name Suffix
Jr.
Credential
LCSW-R
Mailing Street Address
145 W Pearl St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1063
Mailing Country
US
Mailing Phone
(315) 331-5659
Mailing Fax
(315) 331-5959
Practice Street Address
145 W Pearl St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1063
Practice Country
US
Practice Phone
(315) 331-5659
Practice Fax
(315) 331-5959
Enumeration Date
October 17, 2006
Last Updated
September 12, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)