Provider Demographics
NPI:1356790695
Name:PILEGGI, ROBERT MICHAEL (MSS, LCSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MICHAEL
Last Name:PILEGGI
Suffix:
Gender:M
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-0092
Mailing Address - Country:US
Mailing Address - Phone:718-303-7005
Mailing Address - Fax:718-303-7005
Practice Address - Street 1:31 N NARBERTH AVE
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2347
Practice Address - Country:US
Practice Address - Phone:187-303-7005
Practice Address - Fax:718-303-7005
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0203681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical