DANA L PETROFF (NPI# 1952413056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952413056 |
| Entity Type | Individual |
| Full Name | DANA L PETROFF |
| Credential | LPC, LSW |
| Practice Address |
16 Leon Sullivan Way Charleston WV 25301-2402 |
| Practice Telephone | 3043951821 |
| Mailing Telephone | 3043951821 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14-304 | WV | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1543 | WV | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
AP00938405 | WV | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 Grosscup Ave, Dunbar, WV 250643128 | 3045257851 | 3045251073 |
| 3744 Teays Valley Rd Ste 211, Hurricane, WV 25526 | 3047609945 |
| Street Address |
16 LEON SULLIVAN WAY |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677725 | Eugenie Provosty Taylor | Counselor | 16 Leon Sullivan Way, Suite 300, Charleston, WV 25301-2402 | 2017-02-06 |
| 1396191748 | Kathy Dianne Muscari | Counselor | 16 Leon Sullivan Way, Charleston, WV 25301-2402 | 2016-05-04 |
| 1477923399 | Melissa Cowan | Counselor | 16 Leon Sullivan Way, Charleston, WV 25301-2402 | 2015-10-05 |
| 1942548797 | Robert Schacht | Counselor | 16 Leon Sullivan Way, Ste. 300, Charleston, WV 25301-2402 | 2013-01-29 |
| 1982883211 | Susan Ann Hicks | Social Worker | 16 Leon Sullivan Way, Suite 300, Charleston, WV 25301-2402 | 2007-11-02 |
| 1659589398 | Paula Bickham | Psychologist | 16 Leon Sullivan Way, Suite 300, Charleston, WV 25301-2402 | 2007-05-18 |
| 1356463830 | Joan Fernandes | Counselor | 16 Leon Sullivan Way, Ste. 300, Charleston, WV 25301-2402 | 2007-04-04 |
| 1629199245 | Eric Hardison | Counselor | 16 Leon Sullivan Way, Ste. 300, Charleston, WV 25301-2402 | 2007-04-02 |
| 1396866901 | Ann Martin | Counselor | 16 Leon Sullivan Way, Ste. 300, Charleston, WV 25301-2402 | 2007-04-02 |
| 1376664045 | Sky Kershner | Counselor | 16 Leon Sullivan Way, Ste. 300, Charleston, WV 25301-2402 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1457974511 | Robert B Woods Jr. | Counselor | 3009 Coopers Basin Cir, Charleston, SC 29414-8029 | 2020-05-24 |
| 1841810439 | Elizabeth Chirles | Counselor | 2005 Frampton Ave, Charleston, SC 29412-2013 | 2020-04-23 |
| 1992335301 | Rebecca Kay Kreutner | Counselor | 3 Broad St Ste 205, Charleston, SC 29401-3054 | 2020-01-24 |
| 1124672282 | Haley E Duncan | Counselor | 3 Broad St Ste 203, Charleston, SC 29401-3054 | 2019-07-27 |
| 1609340942 | Tessa Virginia Pegram Trask | Counselor | 507 Savannah Hwy, Charleston, SC 29407-7209 | 2019-01-21 |
| 1588135834 | Amanda Denise Pendry | Counselor | 921 Churchill Cir, Charleston, WV 25314-1710 | 2018-12-16 |
| 1851862031 | Irene Marie Laganchambers | Counselor | 720 Magnolia Rd Ste 2, Charleston, SC 29407-7094 | 2018-12-16 |
| 1750862231 | Anne Chamberlain Frazier | Counselor | 125 Wappoo Creek Dr # A, Charleston, SC 29412-2163 | 2018-08-23 |
| 1457848400 | William Welker | Counselor | 705 S Park Rd, Charleston, WV 25304-2629 | 2018-04-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on DANA L PETROFF.
| 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.