Individual provider · Type 1 NPI
Jonathan Russell Petykowski
Clinical Social Worker · Louisville, CO
Practice location
700 Front St Ste 108
Louisville, CO 80027-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW.09931787 (CO) |
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…
2 other providers at this address
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About NPI 1730970443
Jonathan Russell Petykowski's National Provider Identifier is 1730970443, issued on May 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, CO. The record was last updated on May 13, 2025.