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

Peter Dodge, LMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003116351

Peter Dodge, LMSW is an Addiction (Substance Use Disorder) Counselor in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

334 W State St
Ithaca, NY 14850-5432
Phone: (607) 273-5500
Fax: (607) 273-1277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X · Licence 077988 (NY)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X (NY)

Record details

NPI number1003116351
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESNovember 2, 2010
Mailing address334 W State St, Po Box 789, Ithaca, NY 14850-5432

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