Ronald Petty in Elizabeth - Social Worker

Ronald Petty - NPI 1215121306

Ronald Petty is a Social Worker in Elizabeth, New Jersey. Ronald Petty practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Ronald Petty is 1215121306. The last update date is 2007-08-31.

Ronald Petty's current location address is 655 E Jersey St, Elizabeth, New Jersey. You can contact this provider via phone number 9089945000. The mailing address for Ronald Petty is 655 E Jersey St, Elizabeth, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Petty
Address 655 E Jersey St, Elizabeth, New Jersey
Phone Number 9089945000
Fax Number
Sole Proprietor N
Credentials LSW

NPI Number Detail

NPI Number 1215121306
Provider Enumeration Date 2007-08-31
Last Updated Date 2007-08-31

Provider Mailing Address Detail

Address 655 E Jersey St
City Elizabeth
State New Jersey (NJ)
Post Code 72061259
Phone Number 9089945000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 37LC00068100
Definition:
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 an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37LC00068100 NJ NJ STATE LICENSE

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FAQs about Ronald Petty

What is the Ronald Petty's 1215121306?

The Ronald Petty's NPI (National Provider Identifier) Number is 1215121306. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ronald Petty located?

The Ronald Petty is located at 655 E Jersey St, Elizabeth, NJ 72061259.

What is Ronald Petty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ronald Petty is Social Worker, and the taxonomy classification code that categorizes this area of expertise is 104100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215121306 to Ronald Petty?

The Centers for Medicare & Medicaid Services assigned the 1215121306 to Ronald Petty on 2007-08-31.

When was the information regarding Ronald Petty most recently updated?

The details pertaining to the Ronald Petty, including its address, specialty, and other relevant information, were last refreshed on 2007-08-31.

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