Active NPI
Petronio Counseling - LCSW, PLLC
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1245962091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PETRONIO COUNSELING - LCSW, PLLC
- Practice address
- 95 Allens Creek Road
Building 2, Suite 219
Rochester, NY 14618 - Phone
- (585) 484-7784
- Fax
- (585) 304-7397
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Petronio, LCSWR
- Title
- Owner
- Phone
- (585) 484-7784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
95 Allens Creek Road
Building 2, Suite 219
Rochester, NY 14618
Mailing address
95 Allens Creek Road
Building 2, Suite 219
Rochester, NY 14618
Phone (585) 484-7784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
95 Allens Creek Rd
Ste 219
Rochester, NY 14618
Phone (585) 484-7784
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rochester, NY
- NPI 1912984147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1245962091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 ALLENS CREEK ROAD",
"address_2": "BUILDING 2, SUITE 219",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-484-7784",
"fax_number": "585-304-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 ALLENS CREEK ROAD",
"address_2": "BUILDING 2, SUITE 219",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-484-7784",
"fax_number": "585-304-7397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETRONIO COUNSELING - LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "PETRONIO",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-484-7784",
"authorized_official_credential": "LCSWR"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.