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Contact Information

PETER GRUBE, LCSW-C
819 RICHIE HIGHWAY, SUITE 2005
SEVERNA PARK, MD21146
 Phone: 410-647-6005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PETER GRUBE · (Male)

NPI # 1144988700
Status Active
Credentials LCSW-C
Entity Individual
Enumeration date 12/01/2021
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 09973
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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