Individual provider · Type 1 NPI

Ursula Ann Petrik, LCSW

Clinical Social Worker · Port Jervis, NY

NPI number 1912606187 Active

Practice location

146 Pike St
Port Jervis, NY 12771-1808

Call (845) 858-1456 Map

Fax (845) 378-3283

Mailing address

295 County Route 93
New Hampton, NY 10958-4411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X087670-01 (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 1912606187

Ursula Ann Petrik, LCSW's National Provider Identifier is 1912606187, issued on Feb 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jervis, NY. The record was last updated on Feb 27, 2023.