MR. MICHAEL A PETTINELLI II (NPI# 1083937536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083937536 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL A PETTINELLI II |
| Credential | LMSW |
| Practice Address |
6001 E Molloy Rd Syracuse NY 13211-2100 |
| Mailing Address |
118 Hunt Valley Rd Oneida NY 13421-1834 |
| Practice Telephone | 3152332893 |
| Mailing Telephone | 3153354238 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2011-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 077738-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Q1-0001056 | DE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902833551 | Michael Warren Pettinelli | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-06-27 |
| Street Address |
6001 E MOLLOY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13211-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659431963 | Michael P. Kenney | Internal Medicine | 6001 E Molloy Rd, Syracuse, NY 13211-2100 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692259 | Elizabeth Mitchell | Massage Therapist | 2605 Brewerton Roadd Lin, A Touch Above, Mattydale, NY 13211 | 2012-01-20 |
| 1265616189 | James Laurence Devine | Pharmacist | 2616 Brewerton Rd, Mattydale, NY 13211 | 2007-12-27 |
| 1578053468 | Kalie Jolyn Moore | Massage Therapist | 2605 Brewerton Rd, Syracuse, NY 13211 | 2018-05-16 |
| 1487997276 | Melissa S Mcgloun | Massage Therapist | 2605 Brewerton Rd, A Touch Above, Mattydale, NY 13211 | 2013-04-01 |
| 1770605784 | John Palazzoli | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2007-04-03 |
| 1407283161 | Andrea Marie Rubin | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-09-26 |
| 1689007585 | Justin Christopher Acker | Pharmacist | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2013-08-14 |
| 1538190681 | K Mart Corp | Pharmacy | 2803 Brewerton Rd, Mattydale, NY 13211-1003 | 2006-07-06 |
| 1215044201 | Clinton Charles Conger | Chiropractor | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2006-08-24 |
| 1962055954 | Corey Smith | Massage Therapist | 2605 Brewerton Rd, Mattydale, NY 13211-1147 | 2019-07-19 |
| Find all providers in zip 13211 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1063023265 | Jessica Kaye Bouges | Social Worker | 821 E Brighton Ave Apt 802, Syracuse, NY 13205-2508 | 2020-08-11 |
| 1164044087 | Ednita Marie Wright | Social Worker | 135 Alanson Rd, Syracuse, NY 13207-1503 | 2020-05-13 |
| 1801416383 | Sara Danielle Mcalister | Social Worker | 5133 Kasson Rd, Syracuse, NY 13215-8623 | 2020-04-24 |
| 1598392110 | Jean M Burdick | Social Worker | 6900 Thompson Rd, Syracuse, NY 13211-1328 | 2020-03-24 |
| 1013491737 | Patrick Alvin Ryan | Social Worker | 602 Crossett St, Syracuse, NY 13207-1250 | 2018-09-18 |
| 1881182020 | Diandra Morse | Social Worker | 3532 James St Ste 112, Syracuse, NY 13206-2547 | 2018-04-24 |
| 1083122311 | Amber Oliver | Social Worker | 307 Cambridge Ave, Syracuse, NY 13208-1446 | 2018-01-22 |
| 1700394152 | Celia Kamps, Lcsw, Pllc | Social Worker | 2507 James St Ste 206, Syracuse, NY 13206-2825 | 2018-01-19 |
| 1699283770 | Karla Beth Murphy | Social Worker | 635 Madison Street, Syracuse, NY 13210 | 2018-01-11 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.