Joseph I Peters Jr., LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

039676 Issued in NY

Practice address

145 W Pearl St
Newark, NY 14513-1063

Phone

(315) 331-5659

Fax

(315) 331-5959

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1013097559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W PEARL ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131063",
            "telephone_number": "315-331-5659",
            "fax_number": "315-331-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W PEARL ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131063",
            "telephone_number": "315-331-5659",
            "fax_number": "315-331-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOSEPH",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Peacock, OTR/L
• Alyssa N Peake
• Kevin Mark Penner, OTR/L
• Karen Peppas
• Victoria Perrello, SLP
• Jennifer Philip
• Suzanne L Phillips, LMT
• Amanda M Piazza
• Paul Plucinik Jr., PHARM D.
• Jennifer Hoffman Pogel, O.T.

• Clinical Social Worker in Newark, NY
• Providers in Newark, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.