Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JERRY ALVIN PETROVICH MSW
NPI 1184668436
Social Worker - Clinical in Grand Rapids, MI

Active since June 16, 2006
349 S DIVISION AVE, GRAND RAPIDS, MI 49503(616) 234-0220(616) 234-0229 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jerry Alvin Petrovich Msw NPPES

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

MR. JERRY ALVIN PETROVICH MSW (NPI 1184668436) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801082746) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1184668436
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JERRY ALVIN PETROVICHCredential: MSW
Location Address349 S DIVISION AVEGrand Rapids, MI 49503-4580
Mailing Address349 S Division AveGrand Rapids, MI 49503-4580 · (616) 234-0220 · Fax (616) 234-0229
Fax(616) 234-0229
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1184668436 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 MI · 6801082746
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.
349 S DIVISION AVE, Grand Rapids, MI 49503

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 Jerry Petrovich's NPI number?

The NPI number for Jerry Petrovich is 1184668436. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Jerry Petrovich located?

Jerry Petrovich practices at 349 S Division Ave, Grand Rapids, MI 49503. The listed phone number is (616) 234-0220.

What is Jerry Petrovich'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 Jerry Petrovich was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.