National Provider Identifier
Peter L Wilder, LCSW-R
Peter L Wilder, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in East Rochester, NY and a listed phone number of (585) 732-2192.
Profile Overview
- NPI
- 1235893371
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
Practice Location
- 110 E Ivy St
- East Rochester, NY 14445-1636
Phone: (585) 732-2192
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1235893371
- Entity Type
- Individual
- Last Name
- Wilder
- First Name
- Peter
- Middle Name
- L
- Credential
- LCSW-R
- Mailing Street Address
- 110 E Ivy St
- Mailing City
- East Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445-1636
- Mailing Country
- US
- Mailing Phone
- (585) 732-2192
- Practice Street Address
- 110 E Ivy St
- Practice City
- East Rochester
- Practice State
- NY
- Practice ZIP Code
- 14445-1636
- Practice Country
- US
- Practice Phone
- (585) 732-2192
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)