Individual provider Active NPI

Peter Michael Pascatore, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1417493255
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089132 Issued in NY
Practice address
534 Delaware Ave Ste 207
Buffalo, NY 14202-1379
Phone
(716) 222-0241
Fax
(716) 242-0254
NPI assigned
Jan 18, 2017
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089132 NY Primary

Addresses

Primary practice location

534 Delaware Ave Ste 207
Buffalo, NY 14202-1379

Mailing address

534 Delaware Ave Ste 207
Buffalo, NY 14202-1379
Phone (716) 222-0241

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089132NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1417493255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 DELAWARE AVE STE 207",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021379",
            "telephone_number": "716-222-0241",
            "fax_number": "716-242-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 DELAWARE AVE STE 207",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021379",
            "telephone_number": "716-222-0241",
            "fax_number": "716-242-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCATORE",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.