Peyton Franco
Individual provider Active NPI Social Worker · Bayport, NY
NPI 1194442947 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1194442947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 118009-01 (NY)
- Practice address
- 972 Montauk Hwy
Bayport, NY 11705-1612 - Phone
- (631) 472-2629
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118009-01 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 118009-01 | NY | Yes |
Addresses
Primary practice location
972 Montauk Hwy
Bayport, NY 11705-1612
Mailing address
2339 Willoughby Ave
Seaford, NY 11783-2927
Phone (516) 506-3931
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@gsbtherapy.com |
Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.