MRS. ELIZABETH JEAN PETROLLE (NPI# 1417152273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417152273 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH JEAN PETROLLE |
| Other Name | MRS. ELIZABETH JEAN PETERS PETROLLE |
| Credential | LCSW-C |
| Practice Address |
5229 New Design Rd Frederick MD 21703-7103 |
| Practice Telephone | 3016681320 |
| Practice Fax Number | 3016961390 |
| Mailing Telephone | 3016681320 |
| Mailing Fax Number | 3016961390 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12714 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5229 NEW DESIGN RD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598773228 | Lisa Rachel Halpern | Psychiatry & Neurology | 5229 New Design Rd, Frederick, MD 21703-7103 | 2006-08-05 |
| 1720610843 | Jeremy Charles Hewes | Counselor | 5229 New Design Rd, Frederick, MD 21703-7103 | 2020-02-06 |
| 1447666193 | Bonnie Wright | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2014-07-02 |
| 1518218445 | Amanda G Phelan | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2012-10-02 |
| 1285993824 | Diane Gilman | Psychologist | 5229 New Design Rd, Frederick, MD 21703 | 2012-05-15 |
| 1508062209 | Joel D Gunzburg | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2007-06-21 |
| 1750424982 | Jennifer Leslie Jordan | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2007-02-15 |
| 1124182803 | Marta Ellen Archer | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2006-12-20 |
| 1689738379 | Patricia F. Lamb | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2006-12-20 |
| 1336158062 | Lisa R. Halpern, Md, LLC | Social Worker | 5229 New Design Rd, Frederick, MD 21703-7103 | 2006-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1508413121 | Kristen Williams | Social Worker | 6530 Mercantile Dr W, Frederick, MD 21703-1836 | 2019-08-19 |
| 1982265195 | Diana Stewart | Social Worker | 1003 W 7th St Ste And301, Frederick, MD 21701-4106 | 2019-06-27 |
| 1386204212 | Anna Aileen See-jachowski | Social Worker | 10 N Jefferson St Ste 406, Frederick, MD 21701-4823 | 2019-06-13 |
| 1548726078 | Venus Tomlinson | Social Worker | 2007 Truett Way, Frederick, MD 21702-2122 | 2019-02-20 |
| 1831655364 | Andrea Bieljeski | Social Worker | 10 N Jefferson St Ste 202, Frederick, MD 21701-4865 | 2019-02-20 |
| 1306310305 | Catherine Durrett Griffiths | Social Worker | 2552 Bear Den Rd, Frederick, MD 21701-5230 | 2019-01-14 |
| 1740750983 | Hamblin Phillips | Social Worker | 1445 Taney Ave, Frederick, MD 21702-4311 | 2018-11-30 |
| 1730688961 | Kate Macshane | Social Worker | 1 W Church St, Frederick, MD 21701-5991 | 2018-02-02 |
| 1518465426 | Lisa Mccrohan | Social Worker | 723 N Market St, Frederick, MD 21701-5246 | 2018-01-25 |
| Find all providers in FREDERICK | ||||
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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.