JOHN W PETRIE
NPI 1366164352
Social Worker - Clinical in Red Bank, NJ

Q: What is John Petrie's NPI number?

The NPI number for John Petrie is 1366164352. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Q: What is John Petrie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Petrie was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment

65 MECHANIC ST STE 203, RED BANK, NJ 07701(855) 284-7483 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2024, Sep 15, 2022 (2 updates tracked since 2022).

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About John W Petrie NPPES

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

JOHN W PETRIE (NPI 1366164352) is an individual clinical provider in Red Bank, New Jersey, licensed in New Jersey (44SC06384100) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366164352

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOHN W PETRIE

Location Address65 MECHANIC ST STE 203Red Bank, NJ 07701-1852

Mailing AddressPo Box 748465Atlanta, GA 30374-8465

Phone(855) 284-7483

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 15, 2022

Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1366164352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NJ · 44SC06384100

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 ListedSocial WorkerTaxonomy 104100000X

65 MECHANIC ST STE 203, Red Bank, NJ 07701

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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

John W Petrie 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 ID2466983762

PECOS Enrollment IDI20240926003765

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 07701 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 $61.59 – $185.05

Typical copayment $0.00 (range $15.39 – $46.26)

Most-billed visit code NA

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE HELEN DIAZ

Counselor (Professional)