Provider Demographics
NPI:1972639185
Name:BINNINGS, PETER (LICSW)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:BINNINGS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 LAURISTON ST, UPPER LEVEL
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-1249
Mailing Address - Country:US
Mailing Address - Phone:510-761-6706
Mailing Address - Fax:510-597-7171
Practice Address - Street 1:1 RICHMOND SQ STE 103K
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5166
Practice Address - Country:US
Practice Address - Phone:510-761-6706
Practice Address - Fax:510-597-7171
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA278761041C0700X
RI026451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical