Petina Rachelle Strickley, CSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252780 Issued in KY

Practice address

1 Moock Rd Ste 101
Wilder, KY 41071-5465

Phone

(859) 341-9333

NPI assigned

Sep 27, 2017

Last updated

Sep 27, 2017By 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

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1801305446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 SKYLINE DR",
            "city": "HIGHLAND HEIGHTS",
            "state": "KY",
            "postal_code": "410763549",
            "telephone_number": "859-835-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOOCK RD STE 101",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410715465",
            "telephone_number": "859-341-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLEY",
        "first_name": "PETINA",
        "middle_name": "RACHELLE",
        "credential": "CSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madija J. Sandy, MSN, PMHNP
• Emily Ann Sherlock, BS
• Evan Michael Sims, OD
• Marisa Spears
• Thomas Gregory Stadler, PT
• Sally J Sweeney
• Joann M Terry, P.T.
• Therapeutic Collaborative
• Therapeutic Collabortive
• Meredith Thornton, BA

• Clinical Social Worker in Wilder, KY
• Providers in Wilder, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.