Individual provider · Type 1 NPI

Amy Jacquelin Petrulis, M.S., L.C.S.W.

Clinical Social Worker · Livingston, MT

NPI number 1194096016 Active

Practice location

108 1/2 W Callender St Apt 4
Livingston, MT 59047-2647

Call (406) 223-2092 Map

Fax (406) 823-6305

Mailing address

316 W Front St
Livingston, MT 59047-1925

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1060 (MT)

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 1194096016

Amy Jacquelin Petrulis, M.S., L.C.S.W.'s National Provider Identifier is 1194096016, issued on Jan 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Livingston, MT. The record was last updated on Oct 15, 2019.