Provider Demographics
NPI:1013058015
Name:PIRO, VICTOR STEPHEN (LICSW)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:STEPHEN
Last Name:PIRO
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 1:20 LADD ST STE 404
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4080
Mailing Address - Country:US
Mailing Address - Phone:603-427-1177
Mailing Address - Fax:603-427-6555
Practice Address - Street 1:20 LADD ST STE 404
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4080
Practice Address - Country:US
Practice Address - Phone:603-427-1177
Practice Address - Fax:603-427-6555
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30420641Medicaid
NHRE5604Medicare ID - Type Unspecified