Organization · Type 2 NPI

Bobbi Petranchuk

Clinical Social Worker · Fort Drum, NY

NPI number 1083356489 Active

Practice location

11050 Mt Belvedere Blvd Rm 1113
Fort Drum, NY 13602-2603

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

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…

About NPI 1083356489

Bobbi Petranchuk's National Provider Identifier is 1083356489, issued on Apr 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Drum, NY. The record was last updated on Sep 23, 2024.