Ms Isabela Kae Petitgout, MSW is a
Social Worker - Clinical based in Notre Dame, Indiana. Ms Isabela Kae Petitgout is licensed to practice in * (Not Available) (license number ) and her current practice location is
149 Le Mans Hall, Notre Dame, Indiana. She can be reached at her office (for appointments etc.) via phone at
(312) 206-3706.
NPI number for Ms Isabela Kae Petitgout is 1114802576 and her current mailing address is 149 Le Mans Hall, Notre Dame, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114802576.
Healthcare Provider's Profile
Full Name | Ms Isabela Kae Petitgout |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 149 Le Mans Hall, Notre Dame, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114802576
- Provider Enumeration Date: 08/06/2025
- Last Update Date: 08/08/2025
Medical Identifiers
Medical identifiers for Ms Isabela Kae Petitgout such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114802576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Isabela Kae Petitgout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Isabela Kae Petitgout, MSW 149 Le Mans Hall, Notre Dame, IN 46556 Ph: () - | Ms Isabela Kae Petitgout, MSW 149 Le Mans Hall, Notre Dame, IN 46556 Ph: (312) 206-3706 |
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