Peta Gaye Hermitt, LCSW, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083598 Issued in NY

Practice address

40 Flatbush Avenue Ext
8TH Floor
Brooklyn, NY 11201-2903

Phone

(718) 439-4300

NPI assigned

Feb 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1023340353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600",
            "fax_number": "718-439-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT",
            "address_2": "8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-439-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMITT",
        "first_name": "PETA GAYE",
        "name_prefix": "Miss",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "22761",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serie Herman
• Shira Herman, SLP
• Shloime M Herman
• Yonina Herman, LMSW
• Aili Amanda Hermann, LCSW
• Rebecca M Hermos
• Evita K. Hernaez, M.S., CCC-SLP
• Andres Ramon Hernandez Abreu, M.D.
• Hernandez Ambulette Corp
• Linoska Emilia Hernandez Charles

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.