Individual provider · Type 1 NPI

Kelly Anne Petravicz, M.ED.

Clinical Social Worker · Lawrence, MA

NPI number 1710294483 Active

Practice location

370 Merrimack St Ste 120
Lawrence, MA 01843-1789

Mailing address

370 Merrimack St Bldg 5
Lawrence, MA 01843-1788

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLICSW1141675 (MA)

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 1710294483

Kelly Anne Petravicz, M.ED.'s National Provider Identifier is 1710294483, issued on Sep 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrence, MA. The record was last updated on Apr 10, 2026.