Provider Demographics
NPI:1396817276
Name:PEFFER, CLAIRE KANTOR (MSW)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:KANTOR
Last Name:PEFFER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6689 NORMAN DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-2521
Mailing Address - Country:US
Mailing Address - Phone:321-724-4744
Mailing Address - Fax:321-951-3698
Practice Address - Street 1:24 SILVER PALM AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3124
Practice Address - Country:US
Practice Address - Phone:321-728-1329
Practice Address - Fax:321-951-3698
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW25331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3392Medicare ID - Type Unspecified