National Provider Identifier
Katie Peters
Katie Peters is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 274-6200.
Profile Overview
- NPI
- 1073088621
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 10, 2018
- Last Updated
- June 28, 2021
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1073088621
- Entity Type
- Individual
- Last Name
- Peters
- First Name
- Katie
- Provider Other Last Name
- Schild
- Provider Other First Name
- Katie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 201 E Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Enumeration Date
- October 10, 2018
- Last Updated
- June 28, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)