Peter Carney, LCSW – Clinical Social Worker

Key facts

NPI: 1255165452
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 014296 (CT)
Practice address: 484 Ridgebury Rd
Ridgefield, CT 06877-1228
Phone: (203) 801-5254
NPI assigned: Aug 29, 2024
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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

Ridgebury Farm and Stables Physical Medicine & Rehabilitation Physician · Ridgefield, CT · NPI 1851000749

NPD

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
014296	CT	MD	Clinical Social Worker
081286-1	NY	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Ridgebury Farm and Stables		Current since Sep 1, 2024	Accepting new patients

Locations

484 Ridgebury Rd
Ridgefield, CT 06877
Phone (203) 577-8684

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	081286-1	NY
Clinical Social Worker	1041C0700X	014296	CT	Yes

Addresses

Primary practice location

484 Ridgebury Rd
Ridgefield, CT 06877-1228

Mailing address

64 Union Rd
Carmel, NY 10512-5835

Other providers in Ridgefield, CT

All providers in Ridgefield, CT · Clinical Social Worker in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. 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.

Verify at the official NPI Registry.