Active NPI
Peter O. Casey, LICSW
- Clinical Social Worker
- Port Angeles, WA
National Provider Identifier
1245567668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00009466
- Practice address
- 113 East Eunice St.
Port Angeles, WA 98362-0331 - Phone
- (360) 461-3097
- NPI assigned
- Nov 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00009466 | WA | Primary |
Addresses
Primary practice location
113 East Eunice St.
Port Angeles, WA 98362-0331
Mailing address
PO Box 2667
Port Angeles, WA 98362-0331
Phone (360) 461-3097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1245567668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2667",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620331",
"telephone_number": "360-461-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 EAST EUNICE ST.",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620331",
"telephone_number": "360-461-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "PETER",
"middle_name": "O.",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00009466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.