Active NPI
Robin Peritz, LCSWR
- Clinical Social Worker
- Poughkeepsie, NY
National Provider Identifier
1740272699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R042162-1
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601-1328 - Phone
- (845) 486-2703
- Fax
- (845) 486-2865
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R042162-1 | NY | Primary |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601-1328
Mailing address
29 N Hamilton St
Poughkeepsie, NY 12601-2541
Phone (845) 452-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R042162-1 | Other | NY | LCSW-R LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042162-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1740272699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N HAMILTON ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012541",
"telephone_number": "845-452-1110",
"fax_number": "845-452-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011328",
"telephone_number": "845-486-2703",
"fax_number": "845-486-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERITZ",
"first_name": "ROBIN",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R042162-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW-R LICENSE",
"identifier": "R042162-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.