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DR. TIMOTHY PETREY LISW NPI 1679596290


NPI Information

NPI: 1679596290
Provider Name: DR. TIMOTHY PETREY, LISW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
35888 CENTER RIDGE RD
SUITE 5
NORTH RIDGEVILLE, OH
ZIP 44039
Phone: (440) 327-1800
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DR. Timothy Petrey, LISW is a clinical social worker in North Ridgeville, OH. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DR. Timothy Petrey, LISW NPI is 1679596290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35888 CENTER RIDGE RD
SUITE 5
NORTH RIDGEVILLE, OH
ZIP 44039-086
Phone: (440) 327-1800
Fax: (440) 327-1533

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalI-0004112OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SW 11362MEDICARE ID-TYPE UNSPECIFIEDOHIO
2R72229MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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