Sherry Petro & Assoc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149004179 Issued in IL

Legal business name

SHERRY PETRO & ASSOC

Practice address

14525 Walden CT
Oak Forest, IL 60452-1074

Phone

(708) 535-3132

Fax

(708) 346-6169

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Ann Petro, L.C.S.W.NPI 1770700015

Title

President

Phone

(708) 535-3132

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry Ann Petro, L.C.S.W.

  • Clinical Social Worker
  • Oak Forest, IL
  • NPI 1770700015
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1902023245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 S MILLARD AVE",
            "city": "EVERGREEN PK",
            "state": "IL",
            "postal_code": "608052910",
            "telephone_number": "708-535-3132",
            "fax_number": "708-346-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 WALDEN CT",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521074",
            "telephone_number": "708-535-3132",
            "fax_number": "708-346-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY PETRO & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-535-3132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sheahan
• Ronald Shear III, LCSW
• Patricia Sheehan-Jones
• Sheila M. Vacendak, DDS, PC
• Mindy Jo Sherack, LCSW
• Darshana J Sheth, MD
• Veeral Sheth, M.D.
• Oyeyemi Anthony Shodiya
• Kareema Siddiqui
• Erica Sidenstick, LSW, CADC

• Clinical Social Worker in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.