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

Mr. Peter Staller, LCSW

Individual provider Clinical Social Worker · NPI 1962113704

Mr. Peter Staller, LCSW is a Clinical Social Worker in Wyckoff, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

515 Wyckoff Ave
Wyckoff, NJ 07481-1232
Phone: (917) 742-5263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05544900 (NJ)

Record details

NPI number1962113704
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address515 Wyckoff Ave, Wyckoff, NJ 07481-1232

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