MR. PETER STALLER LCSW
NPI 1962113704
Social Worker - Clinical in Wyckoff, NJ

Active since December 13, 2022
515 WYCKOFF AVE, WYCKOFF, NJ 07481(917) 742-5263 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Peter Staller Lcsw NPPES

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

MR. PETER STALLER LCSW (NPI 1962113704) is an individual clinical provider in Wyckoff, New Jersey, licensed in New Jersey (44SC05544900) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1962113704
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PETER STALLERCredential: LCSW
Location Address515 WYCKOFF AVEWyckoff, NJ 07481-1232
Mailing Address515 Wyckoff AveWyckoff, NJ 07481-1232 · (917) 742-5263
Sole ProprietorYes
Enumeration DateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
NPI 1962113704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC05544900
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
515 WYCKOFF AVE, Wyckoff, NJ 07481

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 Staller's NPI number?

The NPI number for Peter Staller is 1962113704. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Peter Staller located?

Peter Staller practices at 515 Wyckoff Ave, Wyckoff, NJ 07481. The listed phone number is (917) 742-5263.

What is Peter Staller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Peter Staller was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.