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

Peter George Gillespie, LCSW

Individual provider Mental Health Counselor · NPI 1417264813

Peter George Gillespie, LCSW is a Clinical Social Worker in Brooklyn, New York. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2010
Specialties on file
2
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

141 N 4th St 2nd Fl
Brooklyn, NY 11211-3216
Phone: (212) 989-2990
Fax: (212) 792-6058
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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 083861-1 (NY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417264813
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 7, 2010
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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