Caroline Petgrave, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082350 Issued in NY

Practice address

27 Barrow St
New York, NY 10014-3823

Phone

(212) 242-4140

NPI assigned

Feb 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Greenwich House Inc

  • Adult Psychiatric/Mental Health Registered Nurse
  • New York, NY
  • NPI 1730207119
  Medicare reassignment NPD
• Henry Street Settlement

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1629172036
  Medicare reassignment NPD
• Metropolitan Center for Mental Health, Inc.

  • Group Psychotherapy Psychologist
  • New York, NY
  • NPI 1275695371
  Medicare reassignment
• Canino LCSW Psychotherapy PC

  • Health Maintenance Organization
  • Brooklyn, NY
  • NPI 1225220072
  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1386884088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BARROW ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143823",
            "telephone_number": "917-817-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BARROW ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143823",
            "telephone_number": "212-242-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETGRAVE",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remmy Peterson, DNP, PMHNP-BC
• Renae Michelle Peterson, LMSW
• Sarah Jane Peterson
• Tammy Peterson
• Michael Petetit, MD
• Katherine Alexandra Petherbridge, RN
• Elder Berry Petilla
• Anthony Louis Petillo, RPH
• Dyjenie Petit del, P.A
• Gaelle Petit Homme, RN

• 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 Aug 18, 2023; 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.