Individual provider · Type 1 NPI

Edward Petrarca, LCSW

Clinical Social Worker · Montclair, NJ

NPI number 1003986787 Active

Practice location

1 Bay Ave, Mountainside Hospital
Montclair, NJ 07042-4837

Call (973) 429-6813 Map

Fax (973) 680-7715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC00016500 (NJ)

Clinical Social Worker: 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 interpers…

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About NPI 1003986787

Edward Petrarca, LCSW's National Provider Identifier is 1003986787, issued on Nov 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montclair, NJ. The record was last updated on Jul 10, 2007.