Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Peter R O'Herron, LCSW

Individual provider Social Worker · NPI 1578697900

Peter R O'Herron, LCSW is a Social Worker in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
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

65 Park Ave Ste 105
Bay Shore, NY 11706-7359
Phone: (631) 665-0229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 058540 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 058540 (NY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 058540 (NY)

Record details

NPI number1578697900
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESSeptember 11, 2025

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