Provider Demographics
NPI:1538903232
Name:PEER, DAVID FLEMING (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:FLEMING
Last Name:PEER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 EVANS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9343
Mailing Address - Country:US
Mailing Address - Phone:239-936-3202
Mailing Address - Fax:239-936-4833
Practice Address - Street 1:1342 COLONIAL BLVD STE C21
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1004
Practice Address - Country:US
Practice Address - Phone:239-849-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00018271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical