| Professional Counseling Lcsw Services, Pllc | |
|
11057 Miller Rd Utica NY 13502-7013 | |
| (315) 733-0520 | |
| (315) 733-0518 |
| Full Name | Professional Counseling Lcsw Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11057 Miller Rd, Utica, New York |
| Authorized Official Name and Position | Judith Arden Petroski (OWNER) |
| Authorized Official Contact | 3157330520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Lcsw Services, Pllc 11057 Miller Rd Utica NY 13502-7013 Ph: (315) 733-0520 | Professional Counseling Lcsw Services, Pllc 11057 Miller Rd Utica NY 13502-7013 Ph: (315) 733-0520 |
| NPI Number | 1790398683 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Medicare PECOS PAC ID | 2668885930 |
|---|---|
| Medicare Enrollment ID | O20210105001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790398683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Judith A Petroski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689698631 PECOS PAC ID: 1456367507 Enrollment ID: I20060227000348 |
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