Provider Demographics
NPI:1801296587
Name:DOWNES, PETER DANIEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:DANIEL
Last Name:DOWNES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 4TH AVE S
Mailing Address - Street 2:UNIT 200
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4363
Mailing Address - Country:US
Mailing Address - Phone:212-674-5131
Mailing Address - Fax:
Practice Address - Street 1:200 4TH AVE S
Practice Address - Street 2:UNIT 200
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4363
Practice Address - Country:US
Practice Address - Phone:212-674-5131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 121521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical