Peter E. McCoy
Social Worker, Clinical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1083700751
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1083700751
- Entity type
- Individual (NPI-1)
- Name
- Peter E. McCoy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | IC-473 | NV | Yes |
| 1041C0700X | Social Worker, Clinical | 5683-C | NV |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-638-2744
Mailing address
Po Box 752991Las Vegas, NV 89136-2991
Phone 702-638-2744
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