Provider Demographics
NPI:1922023332
Name:ROBBINS, PETER J (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:J
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 CHAFFEE RD
Mailing Address - Street 2:
Mailing Address - City:ARCADE
Mailing Address - State:NY
Mailing Address - Zip Code:14009-9706
Mailing Address - Country:US
Mailing Address - Phone:585-457-4243
Mailing Address - Fax:585-457-4243
Practice Address - Street 1:1120 CHAFFEE RD
Practice Address - Street 2:
Practice Address - City:ARCADE
Practice Address - State:NY
Practice Address - Zip Code:14009-9706
Practice Address - Country:US
Practice Address - Phone:585-457-4243
Practice Address - Fax:585-457-4243
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR055731-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical