Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SENIOR IN-HOME COUNSELING LLC
Active
Organization
SENIOR IN-HOME COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY PETERS LCSW (0WNER)
(631) 793-2846
Entity
Organization
Contact information
Practice address
3405 FONTANA LAKE DR, FUQUAY VARINA, NC 27526-0109
(631) 793-2846
Mailing address
3405 FONTANA LAKE DR, FUQUAY VARINA, NC 27526-0109
(631) 793-2846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0701331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168298
—
NY
01
—
1235131566
INDIV NPI
NY
Enumeration date
08/10/2006
Last updated
12/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up