MARY A. C. PETRELLESE BSW
NPI 1356651475
Student in an Organized Health Care Education/Training Program in Danbury, CT

Active since October 08, 2010
30 MAIN ST, SUITE 503, DANBURY, CT 06810(203) 743-4412(203) 744-3500 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary A. C. Petrellese Bsw NPPES

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

MARY A. C. PETRELLESE BSW (NPI 1356651475) is an individual student in an organized health care education/training program in Danbury, Connecticut and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1356651475
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY A. C. PETRELLESECredential: BSW
Location Address30 MAIN ST, SUITE 503Danbury, CT 06810-3040
Mailing Address30 Main St, Suite 503Danbury, CT 06810-3040 · (203) 743-4412 · Fax (203) 744-3500
Fax(203) 744-3500
Sole ProprietorYes
Enumeration DateOctober 8, 2010
NPI 1356651475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 MAIN ST, Danbury, CT 06810

Other Identifiers 1

Medicaid008003522CT

Other Providers at the Same Location NPPES 11

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
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Counselor (Mental Health)
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
30 MAIN ST, SUITE 503
DANBURY, CT 06810

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 Mary Petrellese's NPI number?

The NPI number for Mary Petrellese is 1356651475. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Where is Mary Petrellese located?

Mary Petrellese practices at 30 Main St Suite 503, Danbury, CT 06810. The listed phone number is (203) 743-4412.

What is Mary Petrellese's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Petrellese was last updated on October 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.