Petruso, Joseph Daniel

Petruso, Joseph Daniel is an individual health care provider with primary practice located at 124 Amherst St , Winchester VA 22601-4114. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Petruso, Joseph Daniel can be contacted via phone (540) 667-6272.

Contact Information

Primary practice address
124 Amherst St Winchester VA 22601-4114
Phone: (540) 667-6272
Fax: (540) 542-0406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904000087 Virginia

Profile Details

NPI number 1558333021
LBN Legal business name Petruso, Joseph Daniel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558333021 NPPES
Virginia Other 087912 ANTHEM BC/BS
Virginia MEDICAID 8937931 ANTHEM BC/BS

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