GEORGINA MARIE PETRONELLA (NPI# 1073135653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073135653 |
| Entity Type | Individual |
| Full Name | GEORGINA MARIE PETRONELLA |
| Credential | LMSW |
| Practice Address |
1221 W Ben White Blvd Ste 210a Austin TX 78704-7182 |
| Practice Telephone | 5129604533 |
| Mailing Telephone | 5129604533 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 68473 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 68473 | 01 |
| Street Address |
1221 W BEN WHITE BLVD STE 210A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275841272 | Laura Ann Johnson | Counselor | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2010-09-24 |
| 1255962528 | Chelsea Garcia | Social Worker | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2020-01-27 |
| 1649800590 | Jacqueline Nicole Smith | Social Worker | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2020-01-20 |
| 1700433968 | Megan Olszewski | Counselor | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2019-08-22 |
| 1437703766 | Kristen Theis | Counselor | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2019-07-25 |
| 1225595820 | Brianne Daubenspeck | Social Worker | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2019-03-01 |
| 1538647003 | Vanessa Robles | Social Worker | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2018-08-06 |
| 1982956165 | Rachel Mccarthy | Psychologist | 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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 and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385052 | Phoebe Mikelle Rankin | Social Worker | 904 Sirocco Dr Unit A, Austin, TX 78745-3859 | 2020-10-27 |
| 1992303044 | Lindsay Luongo | Social Worker | 612 W 22nd St, Austin, TX 78705-5104 | 2020-10-12 |
| 1356958664 | Alyssa Ramirez | Social Worker | 100 W Dean Keeton St Stop A3500, Austin, TX 78712-1099 | 2020-09-30 |
| 1528673068 | Meghan Graham | Social Worker | 100 W Dean Keeton St Fl 5, Austin, TX 78712-1091 | 2020-09-11 |
| 1568071405 | Yumnah Syed-swift | Social Worker | 2525 S Lamar Blvd Ste 15, Austin, TX 78704-4789 | 2020-07-27 |
| 1437778818 | Amanda Mills | Social Worker | 7224 Northeast Dr, Austin, TX 78723-1497 | 2020-04-15 |
| 1629602735 | Gwendolyn Cubit | Social Worker | 1006 E Yager Ln Ste 104a, Austin, TX 78753-7039 | 2020-02-27 |
| 1598396780 | Zakira Tenny | Social Worker | 7701 Metropolis Dr Bldg 13, Austin, TX 78744-3141 | 2020-01-28 |
| 1104463447 | Alexandra Tueni | Social Worker | 2525 Wallingwood Dr Ste 1503, Austin, TX 78746-6923 | 2019-12-05 |
| 1053958801 | Diana Anzaldua | Social Worker | 111 Ramble Ln Ste 120, Austin, TX 78745-2281 | 2019-11-27 |
| Find all providers in AUSTIN | ||||
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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.