Bobbi Petranchuk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074630 Issued in NY

Practice address

7550 S State St
Lowville, NY 13367-1533

Phone

(315) 376-5450

Fax

(315) 785-8628

NPI assigned

May 5, 2006

Reactivated

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bobbi L Petranchuk LCSW PLLC

  • Clinical Social Worker
  • Evans Mills, NY
  • NPI 1982479168
  NPD Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1609824960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010091",
            "telephone_number": "315-782-4207",
            "fax_number": "315-782-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671533",
            "telephone_number": "315-376-5450",
            "fax_number": "315-785-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRANCHUK",
        "first_name": "BOBBI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-10-31",
        "deactivation_date": "2024-09-25",
        "reactivation_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Lynn Patrick, BIRTH DOULA
• Melissa Pavo-Zehr
• Pco PC (PCO Radiology PC)
• Lisa M Peebles
• Nicholas Peter James Perry, M.D.
• Allyson Petrus
• Mallory Petrus
• Amy Phair, FNP
• Martha Lynn Pisaniello, M.D.
• Marilyn A Planck Yancey

• Clinical Social Worker in Lowville, NY
• Providers in Lowville, 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 Oct 31, 2024; 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.