Peter Minucci Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0340721 Issued in NY

Practice address

116 S Lake Ave
Albany, NY 12208-3371

Phone

(518) 465-8728

Fax

(518) 436-3576

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Service of the Episcopal Diocese of Albany, Inc

  • Clinical Social Worker
  • Albany, NY
  • NPI 1396882635
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376609123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 DROMS RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123029739",
            "telephone_number": "518-384-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S LAKE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083371",
            "telephone_number": "518-465-8728",
            "fax_number": "518-436-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUCCI",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0340721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget M Mineau, R.N.
• Nancy Minehan
• Jacob Miner
• Tammi Ming
• Lahtika Kismira Minns
• Kristin Szabad Mir, PA-C
• Philip Miranda
• Sapna Kishore Mirapuri
• Diego E Miron, DDS
• Susan Ann Miron, M.S.ED.

• Clinical Social Worker in Albany, NY
• Providers in Albany, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.