Mark Peluso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007552 Issued in CT

Practice address

400 N State Road 19 Ste 48
Palatka, FL 32177-2449

Phone

(386) 329-8800

NPI assigned

Feb 1, 2011

Last updated

Dec 28, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT, FL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mark Peluso LCSW LLC

  • Clinical Social Worker
  • Wethersfield, CT
  • NPI 1801130851

  FL

  Medicare reassignment NPD Authorized official
• Direct Access Counseling & Supportive Services, LLC

  dba Direct Access Counseling and Supportive Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, FL
  • NPI 1679011449

  Clinical

  Medicare reassignment NPD
• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1316243702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094348",
            "telephone_number": "860-704-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE ROAD 19 STE 48",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772449",
            "telephone_number": "386-329-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Marie Dr",
            "address_purpose": "LOCATION",
            "city": "Ponce Inlet",
            "state": "FL",
            "postal_code": "321277010",
            "country_code": "US",
            "telephone_number": "860-573-2257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1177 Silas Deane Hwy",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061094348",
            "country_code": "US",
            "telephone_number": "860-704-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELUSO",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palatka Physical Therapy LLC
• Palatka SNF Operations LLC (Palatka Center for Rehabilitation and Healing)
• Kiesha Lashawn Parkinson, RN
• Patrick J Harris D O P a
• Larry William Pederson, R.PH., C.PH.
• Robert Pendrak, MD
• Peopleone Health Florida, LLC
• Richard A. Perallon, DMD
• Maria Del Carmen Perez-Garcia, MD
• Teresa A Perez, LMHC CAP

• Clinical Social Worker in Palatka, FL
• Providers in Palatka, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.