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US ARMY MEDICAL DEPARTMENT
NPI 1083356489
Social Worker - Clinical in Fort Drum, NY

Active since April 07, 2022
11050 MT BELVEDERE BLVD RM 1113, FORT DRUM, NY 13602(315) 772-2151 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Apr 7, 2022 (2 updates tracked since 2022).

About Us Army Medical Department NPPES

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

US ARMY MEDICAL DEPARTMENT (NPI 1083356489) is a healthcare organization registered as a clinical in Fort Drum, New York and active in the NPI registry since April 2022. The organization lists Bobbi Petranchuk, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1083356489
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBOBBI PETRANCHUK
Location Address11050 MT BELVEDERE BLVD RM 1113Fort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere Blvd Rm 1113Fort Drum, NY 13602-2603 · (315) 772-2151
Phone(315) 772-2151
Organization SubpartNo
Authorized OfficialBobbi PetranchukSocial Worker · (315) 772-2151
Enumeration DateApril 7, 2022
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1083356489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
11050 MT BELVEDERE BLVD RM 1113, Fort Drum, NY 13602
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Other Names 1

Other NameUs Army Medical Department

Other Identifiers 1

Medicaid00354316NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Bobbi Petranchuk's NPI number?

The NPI number for Bobbi Petranchuk is 1083356489. It was assigned to this organization in the NPPES registry on April 7, 2022. The provider is also known as Us Army Medical Department.

Where is Bobbi Petranchuk located?

Bobbi Petranchuk is located at 11050 Mt Belvedere Blvd Rm 1113, Fort Drum, NY 13602. The listed phone number is (315) 772-2151.

What is Bobbi Petranchuk's specialty?

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

When was this NPI record last updated?

The NPPES record for Bobbi Petranchuk was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.