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

Peggy Beadle Tatum, LCSW

Individual provider Clinical Social Worker · NPI 1477637221

Peggy Beadle Tatum, LCSW is a Clinical Social Worker in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

600 E Genesee St 217
Syracuse, NY 13202-3130
Phone: (315) 422-0300
Fax: (315) 479-8455
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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 R039747-1 (NY)

Record details

NPI number1477637221
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESDecember 20, 2010

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