Mr. Peter Staller, LCSW
Social Worker, Clinical in Wyckoff, New Jersey
1962113704- Practice location
- 515 Wyckoff Ave, Wyckoff, NJ 07481-1232
- Phone
- 917-742-5263
- Fax
- —
- Last updated
- December 13, 2022
Peter Staller is a Social Worker, Clinical based in Wyckoff, NJ. Peter Staller practices in Wyckoff, NJ and has the professional credentials of LCSW. The NPI Number for Peter Staller is 1962113704 and holds a License No. 44SC05544900 (NJ). The current practice location address for Peter Staller is 515 Wyckoff Ave, Wyckoff, NJ 07481-1232 and can be reached out via phone at 917-742-5263.
Provider Profile Details
- NPI Number
- 1962113704
- Provider Name
- Peter Staller
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 515 Wyckoff Ave, Wyckoff, NJ 07481-1232
- Phone Number
- 917-742-5263
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 13, 2022
- Last Update Date
- December 13, 2022
- Certification Date
- December 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 515 Wyckoff Ave
Wyckoff, NJ 07481-1232 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-1232
- Phone Number
- 917-742-5263
Provider Business Mailing Address Details
- Address
- 515 Wyckoff Ave
Wyckoff, NJ 07481-1232 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1232
- Phone Number
- 917-742-5263
License Information
- License Number
- 44SC05544900
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Wyckoff, NJ
View all Social Worker, Clinical providers in Wyckoff →- Ann M Wallace Frick, LCSWSocial Worker, Clinical · NPI 1669922514
- Ann Wallace FrickSocial Worker, Clinical · NPI 1235776907
- Cheryl Habersaat, LCSWSocial Worker, Clinical · NPI 1437627296
- Cheryl Schrader, LLCSocial Worker, Clinical · NPI 1851925937
- Courtney Taylor, LCSW, LCADCSocial Worker, Clinical · NPI 1073930582
- Danielle SmithSocial Worker, Clinical · NPI 1457800914
Frequently Asked Questions
What is the NPI number of Mr. Peter Staller, LCSW?
The NPI number of Mr. Peter Staller, LCSW is 1962113704. It was assigned on December 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Peter Staller, LCSW?
Mr. Peter Staller, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05544900.
Where does Mr. Peter Staller, LCSW practice?
The practice location is 515 Wyckoff Ave, Wyckoff, NJ 07481-1232. The office can be reached at 917-742-5263 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962113704 directly on the NPPES registry website.