Individual provider · Type 1 NPI

John W. Petrie

Clinical Social Worker · Red Bank, NJ

NPI number 1366164352 Active

Practice location

65 Mechanic St Ste 203
Red Bank, NJ 07701-1852

Call (855) 284-7483 Map

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X44SC06384100 (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 1366164352

John W. Petrie's National Provider Identifier is 1366164352, issued on Sep 15, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Bank, NJ. The record was last updated on Sep 6, 2024.