Peter R O'Herron, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

058540 Issued in NY

Practice address

65 Park Ave
Suite 105
Bay Shore, NY 11706-7359

Phone

(631) 665-0229

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Sanctuary East LTD.

  • Recovery Care Clinic/Center
  • East Islip, NY
  • NPI 1508801549
  NPD (past)
• Sanctuary East LTD.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • East Islip, NY
  • NPI 1972560167
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578697900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W SHORE RD",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692170",
            "telephone_number": "631-589-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARK AVE",
            "address_2": "SUITE 105",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067359",
            "telephone_number": "631-665-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HERRON",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "058540",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "058540",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "058540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald O'Brien, PT
• Erin Elizabeth O'Brien, PA-C
• Jane Elizabeth O'Brien, MS
• Timothy Dennis O'Donnell, PA
• Michael Kevin O'Grady, D.D.S.
• Veronica Maglaya O'Kelly, M.S. CCC-SLP, TSSLD
• Monique Shakiyla O'Neil, PA
• Danielle Lauren O'Shaughnessy
• William Charles O'Shaughnessy, D.D.S.
• Megan O'Shea

• Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.