Judith Arden Petroski, LSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056155 Issued in NY

Practice address

11057 Miller Rd
Utica, NY 13502-7013

Phone

(315) 733-0520

Fax

(315) 733-0518

NPI assigned

Jul 26, 2006

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

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Professional Counseling LCSW Services, PLLC

  • Professional Counselor
  • Utica, NY
  • NPI 1790398683
  NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689698631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11057 MILLER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027013",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11057 MILLER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027013",
            "telephone_number": "315-733-0520",
            "fax_number": "315-733-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKI",
        "first_name": "JUDITH",
        "middle_name": "ARDEN",
        "credential": "LSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02562870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Peters, PA
• Taylor Kristine Peters, LMSW
• Edith C Peterson, ANP
• Russell Petrie, PA-C
• Robert C Petronio Jr., RPH
• Karina Petrovets
• Viktor Ivanovich Petrovets, FNP-BC
• Jean Pexton
• Darlene Pfeifer
• Timothy A Pfister, DMD

• Clinical Social Worker in Utica, NY
• Providers in Utica, 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 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.