Peter M Castelluccio, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

17 W Red Bank Ave Ste 106
Woodbury, NJ 08096-1630

Phone

(856) 251-3300

Fax

(856) 251-3301

NPI assigned

Mar 22, 2022

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)

Not enrolled

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.

• Inspira Medical Centers, Inc.

  • Emergency Care Clinic/Center
  • Woodbury, NJ
  • NPI 1003661554
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1740939271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE STE 106",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-251-3300",
            "fax_number": "856-251-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE STE 106",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-251-3300",
            "fax_number": "856-251-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLUCCIO",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caringminds LLC
• Christopher Carlino, LPC
• Deanna Lynn Carroll, CLC
• David D Carrozzino, DPM
• Patricia Marie Cassady, PH.D.
• Center for Family Services, Inc.
• Christina Chambers, PHD, LMFT
• Jennifer Chan, OD
• Indira Michelle Chandler
• Charis Counseling, LLC

• All providers in Woodbury, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.