MS. JACLYN PETROV (NPI# 1578878799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578878799 |
| Entity Type | Individual |
| Full Name | MS. JACLYN PETROV |
| Credential | LCSW |
| Practice Address |
3671 Hudson Manor Ter Apt. 18a Bronx NY 10463-1137 |
| Practice Telephone | 5613895898 |
| Mailing Telephone | 5613895898 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2013-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
080748-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 3266622222 | 05 |
| Street Address |
3671 HUDSON MANOR TER APT. 18A |
| City | BRONX |
| State | NY |
| Zip Code | 10463-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780710749 | Patricia Ann Feller | Ophthalmology | 3671 Hudson Manor Ter, Bronx, NY 10463-1137 | 2007-02-26 |
| 1598133969 | Sarah A Kasper | Early Intervention Provider Agency | 3671 Hudson Manor Ter, Bronx, NY 10463-1137 | 2015-09-02 |
| 1124272604 | Shari T Brody | Physical Therapist | 3671 Hudson Manor Ter, Apt. 5b, Bronx, NY 10463-1137 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| 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 |
|---|---|---|---|---|
| 1114527447 | Pearl Sharp Hacker | Social Worker | 90 Schofield Street, Bronx, NY 10464-1532 | 2020-10-27 |
| 1780283499 | Sean Power | Social Worker | 4320 Van Cortlandt Park E Apt 3k, Bronx, NY 10470-1931 | 2020-10-22 |
| 1023616455 | Eclectic Interventions, LLC | Social Worker | 880 Colgate Ave Apt 2l, Bronx, NY 10473-4807 | 2020-10-16 |
| 1467064808 | Suleyma Huerta Nava | Social Worker | 789 E 166th St Apt Wb, Bronx, NY 10456-5657 | 2020-08-18 |
| 1760092993 | Nancy Key | Social Worker | 600 Harding Park, Bronx, NY 10473-2341 | 2020-08-03 |
| 1780293399 | Eva Schonfeld Reichel | Social Worker | 3240 Henry Hudson Pkwy Apt 3h, Bronx, NY 10463-3220 | 2020-07-29 |
| 1013534114 | Alice S Liu | Social Worker | 2403 Cambreleng Ave Apt A, Bronx, NY 10458-6275 | 2020-07-06 |
| 1831714104 | Robert Patrick Benjamin | Social Worker | 250 Walton Ave Ste 2n, Bronx, NY 10451-5416 | 2020-06-12 |
| 1053946707 | Melisssa Berges | Social Worker | 2338 University Ave Apt 3s, Bronx, NY 10468-8200 | 2020-03-03 |
| 1639703978 | Arianny Marian Garcia | Social Worker | 1438 Waring Ave, Bronx, NY 10469-5734 | 2020-02-25 |
| Find all providers in BRONX | ||||
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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.