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

Mr. Ronald John Peckholdt, LCSW

Individual provider Mental Health Counselor · NPI 1417089327

Mr. Ronald John Peckholdt, LCSW is a Mental Health Counselor in Middle Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

3 Emma Ln
Middle Island, NY 11953-2688
Phone: (631) 775-6858
Fax: (631) 924-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R035338 (NY)

Record details

NPI number1417089327
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007

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