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PETER DODGE LMSW
NPI 1003116351
Counselor - Addiction (Substance Use Disorder) in Ithaca, NY

Active since November 02, 2010
334 W STATE ST, ITHACA, NY 14850(607) 273-5500(607) 273-1277 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Dodge Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER DODGE LMSW (NPI 1003116351) is an individual addiction (substance use disorder) provider in Ithaca, New York and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1003116351
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePETER DODGECredential: LMSW
Location Address334 W STATE STIthaca, NY 14850-5432
Mailing Address334 W State St, Po Box 789Ithaca, NY 14850-5432 · (607) 273-5500 · Fax (607) 273-1277
Phone(607) 273-5500
Fax(607) 273-1277
Sole ProprietorYes
Enumeration DateNovember 2, 2010
✔ NPI 1003116351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedSocial WorkerTaxonomy 104100000X · License 077988 (NY)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
334 W STATE ST, Ithaca, NY 14850
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAH COURTNEY MOTTLEY
Registered Nurse (Addiction (Substance Use Disorder))
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 391-1025
CAYUGA ADDICTION RECOVERY SERVICES
Community/Behavioral Health
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
BAILEY MINGES
Registered Nurse (Addiction (Substance Use Disorder))
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
SHERRY BOCKUS
Licensed Practical Nurse
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
DEBORA WHERRY
Licensed Practical Nurse
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
ELIZABETH BELKNAP LPN
Counselor (Addiction (Substance Use Disorder))
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
GAIL ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500
MELISSA FUKA LMSW
Counselor (Addiction (Substance Use Disorder))
334 W STATE ST
ITHACA, NY 14850
Tompkins County (607) 273-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Dodge's NPI number?

The NPI number for Peter Dodge is 1003116351. It was assigned to this individual provider in the NPPES registry on November 2, 2010.

Where is Peter Dodge located?

Peter Dodge practices at 334 W State St, Ithaca, NY 14850. The listed phone number is (607) 273-5500.

What is Peter Dodge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Peter Dodge was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.