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Contact Information

JOSEPH I PETERS JR, LCSW-R
145 W PEARL ST
NEWARK, NY14513-1063
 Phone: 315-331-5659
 Fax: 315-331-5959
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JOSEPH I PETERS JR · (Male)

NPI Number 1013097559
Status Active
Credentials LCSW-R
Entity Individual
Enumeration date 10/17/2006
Last updated 09/12/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 039676
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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