Active NPIIndividual providerSole proprietor

Pamela Petkanas, LCSW

Social Worker, Clinical in Putnam Valley, New York

NPI Number1225439144
Practice location
306 Dennytown RD, Putnam Valley, NY 10579-1423
Fax
—
Last updated
January 14, 2021

Pamela Petkanas is a Social Worker, Clinical based in Putnam Valley, NY. Pamela Petkanas practices in Putnam Valley, NY and has the professional credentials of LCSW. The NPI Number for Pamela Petkanas is 1225439144 and holds a License No. 079994-01 (NY). The current practice location address for Pamela Petkanas is 306 Dennytown RD, Putnam Valley, NY 10579-1423 and can be reached out via phone at 908-230-8131.

Provider Profile Details

NPI Number
1225439144
Provider Name
Pamela Petkanas
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
306 Dennytown RD, Putnam Valley, NY 10579-1423
Phone Number
908-230-8131
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2014
Last Update Date
January 14, 2021
Certification Date
January 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Dennytown RD
Putnam Valley, NY 10579-1423
Zip
10579-1423
Phone Number
908-230-8131
Putnam Valley, NY 10579Get directions →

Provider Business Mailing Address Details

Address
306 Dennytown RD
Putnam Valley, NY 10579-1423
City
Putnam Valley
State
NY
Zip
10579-1423
Phone Number
908-230-8131

License Information

License Number
079994-01
License State
NY
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 Pamela Petkanas, LCSW?

The NPI number of Pamela Petkanas, LCSW is 1225439144. It was assigned on September 10, 2014 and is currently active in the NPPES registry.

What is the specialty of Pamela Petkanas, LCSW?

Pamela Petkanas, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 079994-01.

Where does Pamela Petkanas, LCSW practice?

The practice location is 306 Dennytown RD, Putnam Valley, NY 10579-1423. The office can be reached at 908-230-8131 (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 1225439144 directly on the NPPES registry website.

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