Peter D. Robertson LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC3086 Issued in ME

Legal business name

PETER D. ROBERTSON LCSW

Practice address

35 Pioneer Street
West Paris, ME 04289

Phone

(207) 592-8344

Fax

(207) 693-4591

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter D. Robertson, LCSWNPI 1275640849

Title

Licensed Clinical Social Worker

Phone

(207) 592-8344

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter D. Robertson, L.C.S.W.

  • Clinical Social Worker
  • Bridgton, ME
  • NPI 1275640849
  NPD (past) Authorized official

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1427387752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "HARRISON",
            "state": "ME",
            "postal_code": "040400096",
            "telephone_number": "207-592-8344",
            "fax_number": "207-693-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PIONEER STREET",
            "city": "WEST PARIS",
            "state": "ME",
            "postal_code": "04289",
            "telephone_number": "207-592-8344",
            "fax_number": "207-693-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. ROBERTSON LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "207-592-8344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rae Graham, R.D.H.
• Lindsey Hopkins, CCC-SLP
• Ledgeview Nursing Home Inc
• Park Street Home West Paris
• Tritown Ambulance & Emergency Rescue Service
• David Lester Walton, L..C.P.C.

• Community/Behavioral Health Agency in West Paris, ME
• Providers in West Paris, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.