Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter G Depasquale, PHDMSW

Individual provider Social Worker · NPI 1285782615

Dr. Peter G Depasquale, PHDMSW is a Clinical Social Worker in Port Jefferson, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1982, 44 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
44
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

646 Main St
Port Jefferson, NY 11777
Phone: (631) 689-8180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 29895 (NY)

Record details

NPI number1285782615
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDMSW
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Port Jefferson