NPIMap

Organization Active NPI

Bobbi L Petranchuk LCSW PLLC

  • Clinical Social Worker
  • Evans Mills, NY
National Provider Identifier
1982479168
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BOBBI L PETRANCHUK LCSW PLLC
Practice address
8383 S Main St
Evans Mills, NY 13637-3200
Phone
(585) 867-0054
Fax
(855) 485-1189
NPI assigned
Nov 17, 2023
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Bobbi Petranchuk, LCSW-RNPI 1609824960
Title
Owner
Phone
(315) 681-7087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

8383 S Main St
Evans Mills, NY 13637-3200

Mailing address

8290 Number 2 Rd E
Manlius, NY 13104-8795
Phone (585) 867-0054

Other practice location 1

812 State Fair Blvd Ste 2
Syracuse, NY 13209-1312
Phone (585) 867-0054

National Provider Directory

National Provider Directory

Locations

812 State Fair Blvd
Ste 2
Syracuse, NY 13209
Phone (315) 879-7294

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1982479168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8290 NUMBER 2 RD E",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048795",
            "telephone_number": "585-867-0054",
            "fax_number": "855-485-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 S MAIN ST",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373200",
            "telephone_number": "585-867-0054",
            "fax_number": "855-485-1189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 State Fair Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132091312",
            "country_code": "US",
            "telephone_number": "585-867-0054",
            "fax_number": "855-485-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOBBI L PETRANCHUK LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PETRANCHUK",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-681-7087",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.