Individual provider · Type 1 NPI

Jodell Rae Petit, APSW, CSAC, ICS

Clinical Social Worker · Hayward, WI

NPI number 1386881522 Active

Practice location

10592 Main St
Hayward, WI 54843-6658

Fax (715) 934-2091

Mailing address

13380 W Trepania Rd
Hayward, WI 54843-2186

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8459-123 (WI)

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 1386881522

Jodell Rae Petit, APSW, CSAC, ICS's National Provider Identifier is 1386881522, issued on Jan 9, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hayward, WI. The record was last updated on Jul 21, 2026.