Dorothy S Petty, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

077933-1 Issued in NY

Practice address

17 W Merrick Rd
Freeport, NY 11520-3826

Phone

(516) 868-3030

NPI assigned

Dec 13, 2007

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

Other names 1

• Miss Dorothy S Hutchinson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1649453507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203826",
            "telephone_number": "516-868-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203826",
            "telephone_number": "516-868-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "DOROTHY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "077933-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01666971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "HUTCHINSON",
            "middle_name": "S",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Perla Tate Physicians PLLC
• Nairobi Perry
• Navida Persaud, RPH
• Personal Care NP in Family Health and Psychiatry PLLC
• Personnel Healthcare Management, LLC
• Jaime Philip, D.D.S
• Christopher F Piccininni, LCSW
• Wendy Pierre-Francois
• Magalie Pierre-Louis
• Danielle Pignatelli

• Mental Health Counselor in Freeport, NY
• Providers in Freeport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.