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NPI Code Detail

MEDICARE: KRISTIN PELUSI LCSW

MEDICARE: KRISTIN PELUSI 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 Worker101579NY

General Provider Information

NPI Number : 1851066179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN PELUSI LCSW
Provider Business Mailing Address
First Line : 214 KING ST STE A
Second Line :
City : OGDENSBURG
State : NY
Zip : 13669-1142
Country : US
Telephone Number : 315-713-5720
Fax Number :
Provider Business Practice Location Address
First Line : 214 KING ST STE A
Second Line :
City : OGDENSBURG
State : NY
Zip : 13669-1142
Country : US
Telephone Number : 315-713-5720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 01/20/2026

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Directions to “ KRISTIN PELUSI LCSW” Practice Location

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