Individual provider · Type 1 NPI

Michael A. Pettinelli Ii, LMSW

Clinical Social Worker · Syracuse, NY

NPI number 1083937536 Active

Practice location

6001 E Molloy Rd
Syracuse, NY 13211-2100

Call (315) 233-2893 Map

Mailing address

118 Hunt Valley Rd
Oneida, NY 13421-1834

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X077738-1 (NY)
Clinical Social Worker Primary 1041C0700XQ1-0001056 (DE)

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 1083937536

Michael A. Pettinelli Ii, LMSW's National Provider Identifier is 1083937536, issued on Mar 11, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Apr 25, 2011.