Individual provider Active NPI

Julianna Marie Petrone, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1811222433
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14208 Issued in FL
Practice address
6525 Murano Way
Lake Worth, FL 33467-4613
Phone
(631) 827-1299
Fax
(561) 448-4565
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14208 FL Primary

Addresses

Primary practice location

6525 Murano Way
Lake Worth, FL 33467-4613

Mailing address

1336 Stanley Park Dr
Decatur, GA 30033-4429
Phone (631) 827-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191114001193 FL Practitioner - Clinical Social Worker 6608208582 Reassigns benefits to 3 organizations
I20240404002824 GA Practitioner - Clinical Social Worker 6608208582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1708 Peachtree St NW
Suite 400
Atlanta, GA 30309-7022
Phone (631) 827-1299

6525 Murano Way
Lake Worth, FL 33467-4613
Phone (631) 827-1299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW14208FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JP Counseling, LLC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Family Psychology Associates Inc Clinical CurrentSince Oct 25, 2019 Accepting new patients
Lynda Gurvitz PHD Inc PastSince Oct 25, 2019 Accepting new patients

Locations

5700 Lake Worth Rd
Ste 110
Greenacres, FL 33463
Phone (561) 317-7259

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

1708 Peachtree St NW
Ste 400
Atlanta, GA 30309
Phone (404) 607-1220

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1811222433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 STANLEY PARK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334429",
            "telephone_number": "631-827-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 MURANO WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674613",
            "telephone_number": "631-827-1299",
            "fax_number": "561-448-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONE",
        "first_name": "JULIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.