MR. JOHN PETROCCO III (NPI# 1164975249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164975249 |
Entity Type | Individual |
Full Name | MR. JOHN PETROCCO III |
Credential | M.S.W., L.C.S.W. |
Practice Address |
1753 Forge Pond Rd Brick NJ 08724-2936 |
Practice Telephone | 7328908007 |
Mailing Telephone | 7328908007 |
Enumeration Date | 2016-07-26 |
Last Update Date | 2016-07-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05414600 | NJ | Behavioral Health & Social Service Providers |
Street Address |
1753 FORGE POND RD |
City | BRICK |
State | NJ |
Zip Code | 08724-2936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
Find all providers in zip 08724 |
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 |
---|---|---|---|---|
1700424033 | Melissa A Ortiz | Social Worker | 270 Drum Point Rd Ste 201a, Brick, NJ 08723-6376 | 2019-12-17 |
1750942330 | Jennifer Frake | Social Worker | 990 Cedar Bridge Ave # B7-202, Brick, NJ 08723-4159 | 2019-06-25 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1508242066 | Jessica Demaio | Social Worker | 38 Topsail Rd, Brick, NJ 08723-6743 | 2015-08-07 |
1144644980 | Candace Marie Tocci | Social Worker | 2670 Yorktowne Boulevard, Brick, NJ 08723-7812 | 2014-02-14 |
1255670055 | Patricia Elizabeth Depko | Social Worker | 270 Drum Point Rd Ste 201, Brick, NJ 08723-6376 | 2013-02-14 |
1639429095 | Sarah E Smentkowski | Social Worker | 2670 Yorktown Blvd, Unit 32, Brick, NJ 08723 | 2012-09-13 |
1821357583 | Caitlin Kalnas | Social Worker | 321 Herbertsville Rd, Brick, NJ 08724-1713 | 2012-05-15 |
1316247570 | Coastal Counseling Center of Brick, LLC. | Social Worker | 1451 Route 88 W, Suite 4a, Brick, NJ 08724-2371 | 2010-10-21 |
1093024796 | Stacy L Novak | Social Worker | 35 Beaverson Blvd Ste 4d, Brick, NJ 08723-7857 | 2010-09-28 |
Find all providers in BRICK |
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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.