Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JODELL RAE PETIT APSW, CSAC, ICS
NPI 1386881522
Social Worker - Clinical in Hayward, WI

Active since January 09, 2009
10592 MAIN ST, HAYWARD, WI 54843(715) 934-1381(715) 934-2091 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jodell Rae Petit Apsw, Csac, Ics NPPES

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

JODELL RAE PETIT APSW, CSAC, ICS (NPI 1386881522) is an individual clinical provider in Hayward, Wisconsin, licensed in Wisconsin (8459-123) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1386881522
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJODELL RAE PETITCredential: APSW, CSAC, ICS
Location Address10592 MAIN STHayward, WI 54843-6658
Mailing Address13380 W Trepania RdHayward, WI 54843-2186 · (715) 638-5102 · Fax (715) 634-6107
Fax(715) 934-2091
Sole ProprietorYes
Enumeration DateJanuary 9, 2009
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1386881522 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 · 8459-123
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.
10592 MAIN ST, Hayward, WI 54843

Other Identifiers 1

Medicaid1386881522WI

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
10592 MAIN ST
HAYWARD, WI 54843
Marriage & Family Therapist
10592 MAIN ST
HAYWARD, WI 54843
Social Worker
10592 MAIN ST
HAYWARD, WI 54843

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 Jodell Petit's NPI number?

The NPI number for Jodell Petit is 1386881522. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Jodell Petit located?

Jodell Petit practices at 10592 Main St, Hayward, WI 54843. The listed phone number is (715) 934-1381.

What is Jodell Petit'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 Jodell Petit was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.