Individual
PETER DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
334 W STATE ST, ITHACA, NY 14850-5432
(607) 273-5500
(607) 273-1277
Mailing address
334 W STATE ST, PO BOX 789, ITHACA, NY 14850-5432
(607) 273-5500
(607) 273-1277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
077988
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NY
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us