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Peter Dodge, LMSW
Substance Use Disorder Rehabilitation Clinic/Center in Ithaca, New York
NPI 1003116351

Peter Dodge is a Substance Use Disorder Rehabilitation Clinic/Center based in Ithaca, NY and is specialized in Rehabilitation, Substance Use Disorder. Peter Dodge practices in Ithaca, NY and has the professional credentials of LMSW. The NPI Number for Peter Dodge is 1003116351 and holds a License No. (New York).

The current practice location address for Peter Dodge is 334 W State St, Ithaca, NY and can be reached out via phone at 607-273-5500 and via fax at 607-273-1277.

Location: 334 W State St, Ithaca, NY, 14850-5432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003116351
Provider Name
Peter Dodge
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
334 W State St, Ithaca, NY, 14850-5432
Phone Number
607-273-5500
Fax Number
607-273-1277
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
334 W State St
City
Ithaca
State
New York
Zip
14850-5432
Phone Number
607-273-5500
Fax Number
607-273-1277
person
Provider Business Mailing Address Details
Address
334 W State St
City
Ithaca
State
New York
Zip
14850-5432
Phone Number
607-273-5500
Fax Number
607-273-1277
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
077988 (New York)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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