Barbara Judith Petratos, MS DSW LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PRO214771 Issued in NY

Practice address

104 E 40TH St
Ste 804
New York, NY 10016

Phone

(212) 242-5716

Fax

(212) 924-4002

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Barbara Judith Dionis Petratos Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1023001328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE OFFICE5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "212-242-5716",
            "fax_number": "212-924-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST",
            "address_2": "STE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-242-5716",
            "fax_number": "212-924-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRATOS",
        "first_name": "BARBARA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MS DSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0214771",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PRO214771",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "PR0214771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "DIONIS PETRATOS",
            "middle_name": "JUDITH",
            "prefix": "DR.",
            "credential": "MS DSW LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Petrancosta
• Alexandra Petraru
• Jennifer N Petras, M.D.
• Laura Israelian Petras, M.D.
• Sara Petrasso, M.A.
• Marinos A Petratos, M.D.
• Theodora Niki Petratos, M.D.
• Luiza F Petre, MD
• Rachel J Petrecca, P.T.
• Kelsey Petrelis, PA-C

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.