ANGELA MARIE PETTY (NPI# 1134137029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134137029 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE PETTY |
| Credential | LCSWR RNC |
| Practice Address |
252 W Dominick St Rome NY 13440 |
| Mailing Address |
5238 Oswego Rd Rome NY 13440 |
| Practice Telephone | 3153370773 |
| Practice Fax Number | 3153372158 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | RPN 251556-1 | NY | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | LCSW R045850-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
252 W DOMINICK ST |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023196383 | Brenda Veilleux | Social Worker | 252 W Dominick St, Rome, NY 13440 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215095 | Kathy Baird | Counselor | 209 Cilanco St Nw, Rome, GA 30165-1601 | 2017-03-03 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1497206882 | Battlefield Ministries, Inc. | Counselor | 5 E 6th Ave, Rome, GA 30161-6001 | 2016-10-20 |
| 1811328347 | Alisha Polite | Counselor | 134 Redmond Circle Nw, Rome, GA 30165-1307 | 2013-12-10 |
| 1720331283 | Joel Ledbetter | Counselor | 300 Leland Ave Nw, Rome, GA 30165-1524 | 2012-10-22 |
| 1124398409 | Leonard Fortney | Counselor | 212 N George St, Rome, NY 13440-5723 | 2012-01-04 |
| 1194377408 | Madison Przelski | Counselor | 125 Brookley Rd, Rome, NY 13441-4301 | 2019-07-16 |
| 1306304464 | Kristen Gaylor Scarber | Counselor | 13 E 2nd Ave, Rome, GA 30161-3135 | 2019-03-07 |
| 1891203824 | Brian David Samples | Counselor | 1400 Crane St Sw, Rome, GA 30161-6333 | 2018-01-11 |
| 1225583594 | Ashley Law Ward | Counselor | 701 E 2nd Ave Sw, Suite A, Rome, GA 30161-6148 | 2016-08-16 |
| Find all providers in ROME | ||||
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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.