EDWARD PETRARCA LCSW
NPI 1003986787
Social Worker - Clinical in Montclair, NJ

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
63.55/100
CMS Quality Rating
1 BAY AVE, MOUNTAINSIDE HOSPITAL, MONTCLAIR, NJ 07042(973) 429-6813(973) 680-7715 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Petrarca Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD PETRARCA LCSW (NPI 1003986787) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (44SC00016500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1003986787
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDWARD PETRARCACredential: LCSW
Location Address1 BAY AVE, MOUNTAINSIDE HOSPITALMontclair, NJ 07042-4837
Mailing Address1 Bay Ave, Mountainside HospitalMontclair, NJ 07042-4837 · (973) 429-6000 · Fax (973) 680-7715
Fax(973) 680-7715
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1003986787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC00016500
Definition

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.

1 BAY AVE, Montclair, NJ 07042

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edward Petrarca Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335289396
PECOS Enrollment IDI20091223000076
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
32 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

63.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability100
Improvement Activities40
Cost56.88

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Petrarca's NPI number?

The NPI number for Edward Petrarca is 1003986787. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Edward Petrarca located?

Edward Petrarca practices at 1 Bay Ave Mountainside Hospital, Montclair, NJ 07042. The listed phone number is (973) 429-6813.

What is Edward Petrarca's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Edward Petrarca enrolled in Medicare?

Yes. Edward Petrarca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Petrarca accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Edward Petrarca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Petrarca affiliated with any hospitals?

According to CMS data, Edward Petrarca is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Edward Petrarca was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.