Petracco Counseling and Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9771 Issued in FL

Legal business name

PETRACCO COUNSELING AND CONSULTING LLC

Practice address

22912 Bay Cedar Dr
Land O Lakes, FL 34639-4796

Phone

(973) 722-5880

NPI assigned

Feb 14, 2013

Last updated

Dec 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heidi A Petracco, MSW, LCSW

Title

Owner and Operator

Phone

(973) 722-5880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1598004319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22912 BAY CEDAR DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22912 BAY CEDAR DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394796",
            "telephone_number": "973-722-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRACCO COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "PETRACCO",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND OPERATOR",
        "authorized_official_telephone_number": "973-722-5880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Perez
• Rynna Perry, COTA/L
• Person First Therapy L.L.C.
• Perspektiv, LLC
• Sabrina Sacha Peterson, ARNP
• Christina Pham
• Francine Marie Phillips, P.A.
• Nathan Jerome Philyaw Jr., PHARMD
• Physical Therapy and Rehab Staffing Solutions
• Physicians Group Internal Medicine

• Clinical Social Worker in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.