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JON P PETRUSCHKE LCSW
NPI 1306021910
Social Worker - Clinical in Portland, MAINE

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
145 NEWBURY STREET, STE 2, PORTLAND, MAINE 04101(207) 774-9667 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2017, Apr 22, 2017 (2 updates tracked since 2017).

About Jon P Petruschke Lcsw NPPES

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

JON P PETRUSCHKE LCSW (NPI 1306021910) is an individual clinical provider in Portland, MAINE, licensed in Maine (LC8835) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1306021910
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJON P PETRUSCHKECredential: LCSW
Location Address145 NEWBURY STREET, STE 2Portland, MAINE 04101
Mailing Address21 Howard StPortland, ME 04101-3208 · (207) 774-9667
Phone(207) 774-9667
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 2, 2008
Last NPPES UpdateApril 26, 20172 updates tracked since enumeration
✔ NPI 1306021910 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 ME · LC8835
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.
145 NEWBURY STREET, Portland, MAINE 04101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Jon P Petruschke 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 ID5597032078
PECOS Enrollment IDI20170605002099
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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 Jon Petruschke's NPI number?

The NPI number for Jon Petruschke is 1306021910. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Jon Petruschke located?

Jon Petruschke practices at 145 Newbury Street Ste 2, Portland, MAINE 04101. The listed phone number is (207) 774-9667.

What is Jon Petruschke's specialty?

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

Is Jon Petruschke enrolled in Medicare?

Yes. Jon Petruschke 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 Jon Petruschke accept?

Health plans from Harvard Pilgrim Health Care list Jon Petruschke 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.

When was this NPI record last updated?

The NPPES record for Jon Petruschke was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.