Shelby Linn Petro, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139593 Issued in PA

Practice address

223 W Broad St
Hazleton, PA 18201-6201

Phone

(570) 455-9902

Fax

(570) 455-9452

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathway to Recovery Counseling & Educational Services

  • Addiction (Substance Use Disorder) Counselor
  • Hazleton, PA
  • NPI 1609889351
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1013625540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CHARLES AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044712",
            "telephone_number": "570-764-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016201",
            "telephone_number": "570-455-9902",
            "fax_number": "570-455-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "SHELBY",
        "middle_name": "LINN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pavlick, MSPT
• Russell Pearson
• Megan Rileigh Peifer
• Dorothy A Perillo, PA-C
• Christina Perry
• Gina Pfeiffer, MSOT
• Homiler Elie Phanor
• Physicisns Clinical Laboratory
• Constance M Piccolo
• Courtenay Pientka

• Social Worker in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.