Individual provider · Type 1 NPI

Brandi Leigh Petrello, LCSW

Clinical Social Worker · Syracuse, NY

NPI number 1730925256 Active

Practice location

4736 Onondaga Blvd
Syracuse, NY 13219-3304

Mailing address

3485 Paul Ave
Warners, NY 13164-9753

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X115631-01 (NY)
Clinical Social Worker Primary 1041C0700X102030-01 (NY)

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 1730925256

Brandi Leigh Petrello, LCSW's National Provider Identifier is 1730925256, issued on Jul 3, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syracuse, NY. The record was last updated on Aug 8, 2026.