Rinaldo Petronio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R039004 Issued in NY

Practice address

140 West 69TH St
Ground Floor
New York, NY 10023

Phone

(212) 873-3964

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184788366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 WEST END AVE",
            "address_2": "APT 12C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255454",
            "telephone_number": "212-873-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST 69TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-873-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIO",
        "first_name": "RINALDO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI VALUE OPTIONS",
            "identifier": "147177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayme Petronchak, OTR/L
• Joseph J Petrone, M.D.
• Kim Kristen Petrone, PHARMD
• Veronica Petrone
• Enrica Petrongari
• Gregory Joseph Petronzi, PH.D.
• Fotini Petropoulos, CCC-SLP
• Tanya Petrosinelli
• Elina Petrosyan
• Alexandra Petrou, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.