MRS. SUZANNE MARIE PETRUCCI (NPI# 1174714562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174714562 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE MARIE PETRUCCI |
| Other Name | SUZANNE MARIE SHIRAR |
| Credential | LCSW |
| Practice Address |
45 Delaware Street Woodbury NJ 08096 |
| Practice Telephone | 8563040578 |
| Practice Fax Number | 8568457432 |
| Mailing Telephone | 8563040578 |
| Mailing Fax Number | 8568457432 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05267700 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05135800 | NJ | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
44SL05135800 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MAGELLAN | 492829000 | 01 |
| Street Address |
45 DELAWARE STREET |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| 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] |
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|---|---|---|---|---|
| 1326655093 | Shane Michael Hamp | Social Worker | 1000 Radio Dr Ste 210, Woodbury, MN 55125-8444 | 2020-09-28 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| 1457979544 | Jeremy Craig Melnick | Social Worker | 1 Joyce Ln, Woodbury, NY 11797-2101 | 2020-07-06 |
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1346880499 | William Sawyer | Social Worker | 6053 Hudson Rd Ste 250, Woodbury, MN 55125-1011 | 2020-01-07 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1427604859 | Lisa Jody Kahn | Social Worker | 175 Froehlich Farm Blvd Ste 156, Woodbury, NY 11797-2920 | 2019-08-12 |
| 1932679016 | Hope & Outreach Therapy Services, LLC | Social Worker | 724 Bielenberg Dr, Woodbury, MN 55125-2620 | 2018-11-30 |
| 1104328988 | Nancy A Ivry Lcsw PC | Social Worker | 136 Woodbury Rd Ste 101c, Woodbury, NY 11797-1411 | 2018-03-07 |
| 1861990095 | Wise Women of New York, LLC | Social Worker | 7 Willow Pond Rd, Woodbury, NY 11797-2819 | 2018-01-23 |
| Find all providers in WOODBURY | ||||
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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.