Active NPIIndividual provider

Petra Gervais, LICSW

Social Worker, Clinical in Westfield, Massachusetts

NPI Number1063540714
Practice location
20 Broad St, Westfield, MA 01085-2902
Fax
—
Last updated
July 8, 2007

Petra Gervais is a Social Worker, Clinical based in Westfield, MA. Petra Gervais practices in Westfield, MA and has the professional credentials of LICSW. The NPI Number for Petra Gervais is 1063540714. The current practice location address for Petra Gervais is 20 Broad St, Westfield, MA 01085-2902 and can be reached out via phone at 413-572-4107.

Provider Profile Details

NPI Number
1063540714
Provider Name
Petra Gervais
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
20 Broad St, Westfield, MA 01085-2902
Phone Number
413-572-4107
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Broad St
Westfield, MA 01085-2902
Zip
01085-2902
Phone Number
413-572-4107
Westfield, MA 01085Get directions →

Provider Business Mailing Address Details

Address
16 Jered Ln
Southwick, MA 01077-9399
City
Southwick
State
MA
Zip
01077-9399
Phone Number
413-569-5799

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Petra Gervais, LICSW?

The NPI number of Petra Gervais, LICSW is 1063540714. It was assigned on March 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Petra Gervais, LICSW?

Petra Gervais, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Petra Gervais, LICSW practice?

The practice location is 20 Broad St, Westfield, MA 01085-2902. The office can be reached at 413-572-4107 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063540714 directly on the NPPES registry website.

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