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NPI Code Detail

MEDICARE: PETER JOSEPH CIANCI LCSW

MEDICARE: PETER JOSEPH CIANCI LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC010182NC

General Provider Information

NPI Number : 1104231331
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER JOSEPH CIANCI LCSW
Provider Business Mailing Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 919-637-6306
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 919-637-6306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 12/11/2025

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