MRS. MONICA CAROL PETRILLA (NPI# 1407975238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407975238 |
| Entity Type | Individual |
| Full Name | MRS. MONICA CAROL PETRILLA |
| Credential | LISW-S |
| Practice Address |
3821 Starrs Centre Dr Suite B Canfield OH 44406-8003 |
| Practice Telephone | 3305333102 |
| Practice Fax Number | 3305333123 |
| Mailing Telephone | 3305333102 |
| Mailing Fax Number | 3305333123 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | I-0008340 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000503675 | 01 |
| Street Address |
3821 STARRS CENTRE DR SUITE B |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073655 | Karipineni R Prasad | Psychiatry & Neurology | 3821 Starrs Centre Dr, Suite B, Canfield, OH 44406-8003 | 2006-10-05 |
| 1730588286 | Jessica N Szenborn | Counselor | 3821 Starrs Centre Dr, Suite B, Canfield, OH 44406-8003 | 2014-08-21 |
| 1871838474 | Northeast Behavioral Health LLC | Counselor | 3821 Starrs Centre Dr, Suite B, Canfield, OH 44406-8003 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790279354 | Sharla Marie Popadak | Social Worker | 3620 Stutz Dr Lowr Level, Canfield, OH 44406-9176 | 2018-06-18 |
| 1396245973 | Emiy E Ayers | Social Worker | 3620 Stutz Dr Ste C, Canfield, OH 44406-9176 | 2018-02-20 |
| 1033634548 | Mary Monica Metcalf | Social Worker | 4907 W South Range Rd, Canfield, OH 44406-9476 | 2017-08-04 |
| 1023625795 | Cheri Fetty | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2020-09-28 |
| 1093359804 | Cassandra Wylie | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2019-11-05 |
| 1659930386 | Krista Marie Clay | Social Worker | 3620 Stutz Dr Lowr Level, Canfield, OH 44406-9176 | 2019-06-06 |
| 1942864376 | Trina Gabriel | Social Worker | 3620 Stutz Dr Ste D, Canfield, OH 44406-9176 | 2019-05-01 |
| 1306315031 | Tiana Moore | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2018-11-26 |
| 1992290993 | Alexis Marie Girgus | Social Worker | 3620 Stutz Dr Ste C, Canfield, OH 44406-9176 | 2018-06-22 |
| 1568956944 | Jasmine Beacham | Social Worker | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2018-06-19 |
| Find all providers in CANFIELD | ||||
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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.