Individual provider Active NPI

Eric Peters, LCSW

  • Social Worker
  • Bradford, PA
National Provider Identifier
1225419237
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
090507 Issued in NY
Practice address
18 Lincolndale Rd
Bradford, PA 16701-3106
Phone
(716) 378-9166
NPI assigned
Jun 16, 2015
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090507 NY Primary

Addresses

Primary practice location

18 Lincolndale Rd
Bradford, PA 16701-3106

Mailing address

18 Lincolndale Rd
Bradford, PA 16701-3106
Phone (716) 378-9166

Other identifiers 1

IdentifierTypeStateIssuer
00635098MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200415001903 NY Practitioner - Clinical Social Worker 9931539970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of CattaraugusGroup PAC ID 3375455124, 10 clinicians

Practice addresses (Care Compare)

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone (716) 373-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090507NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Cattaraugus County Treasurer CurrentSince Mar 24, 2020 Accepting new patients
County of Cattaraugus Social Worker Current Accepting new patients
Cattaraugus County Dept. Community Services CurrentSince Mar 24, 2020 Accepting new patients

Locations

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1225419237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LINCOLNDALE RD",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013106",
            "telephone_number": "716-378-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LINCOLNDALE RD",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013106",
            "telephone_number": "716-378-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ERIC",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.