Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JEREMY DANEIL PETROSKI LCSW
NPI 1154242113
Social Worker - Clinical in De Pere, WI

Active since July 23, 2026
905 GEORGE ST # 135, DE PERE, WI 54115(920) 932-6062 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Daneil Petroski Lcsw NPPES

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

JEREMY DANEIL PETROSKI LCSW (NPI 1154242113) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (12951123) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1154242113
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMY DANEIL PETROSKICredential: LCSW
Location Address905 GEORGE ST # 135De Pere, WI 54115-2939
Mailing Address905 George St # 135De Pere, WI 54115-2939 · (920) 932-6062
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1154242113 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 WI · 12951123
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.

905 GEORGE ST # 135, De Pere, WI 54115

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 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 Jeremy Petroski's NPI number?

The NPI number for Jeremy Petroski is 1154242113. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Jeremy Petroski located?

Jeremy Petroski practices at 905 George St # 135, De Pere, WI 54115. The listed phone number is (920) 932-6062.

What is Jeremy Petroski'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 Jeremy Petroski was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.