Peter Joserph Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

027153LCSWR Issued in NY

Practice address

131 RT 25a
Rocky Point, NY 11778-9098

Phone

(631) 665-0229

Fax

(631) 665-0442

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Marsh Group Counseling Services, LLC

  • Marriage & Family Therapist
  • Bay Shore, NY
  • NPI 1821545583
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1316008485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHITEWOOD DRIVE",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789323",
            "telephone_number": "631-821-1362",
            "fax_number": "631-665-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 RT 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789098",
            "telephone_number": "631-665-0229",
            "fax_number": "631-665-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PETER",
        "middle_name": "JOSERPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "027153LCSWR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02432213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Dianne Shurtluff, R.N.
• Renee Siebert
• Kimberly Ann Singer, MS CCC SLP
• Anna Smelewski, LPN
• Bridget Smith
• Sylvia Smith, LCSW
• Loriann Solano, LICENSED BCBA
• Sound Cardiology, PC
• Sound Medical Services, PC
• Sound Neurology of Port Jefferson, LLP

• Clinical Social Worker in Rocky Point, NY
• Providers in Rocky Point, 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 Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.