Provider Demographics
NPI:1487952230
Name:LIMING, PEGGY M (LMSW, CSSW)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:M
Last Name:LIMING
Suffix:
Gender:F
Credentials:LMSW, CSSW
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 292
Mailing Address - Street 2:35 BROOKSIDE DR.
Mailing Address - City:MUMFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14511-0292
Mailing Address - Country:US
Mailing Address - Phone:585-301-0263
Mailing Address - Fax:
Practice Address - Street 1:35 BROOKSIDE DR.
Practice Address - Street 2:
Practice Address - City:MUMFORD
Practice Address - State:NY
Practice Address - Zip Code:14511-0292
Practice Address - Country:US
Practice Address - Phone:585-301-0263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0693851041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool