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MS. JACLYN PETROV LCSW
NPI 1578878799
Social Worker - Clinical in Bronx, NY

Active since August 12, 2010PECOS Enrolled
3671 HUDSON MANOR TER, APT. 18A, BRONX, NY 10463(561) 389-5898 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jaclyn Petrov Lcsw NPPES

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

MS. JACLYN PETROV LCSW (NPI 1578878799) is an individual clinical provider in Bronx, New York, licensed in New York (080748-1) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578878799
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACLYN PETROVCredential: LCSW
Location Address3671 HUDSON MANOR TER, APT. 18ABronx, NY 10463-1137
Mailing Address3671 Hudson Manor Ter, Apt. 18aBronx, NY 10463-1137 · (561) 389-5898
Phone(561) 389-5898
Sole ProprietorNo
Enumeration DateAugust 12, 2010
Last NPPES UpdateNovember 14, 2013
✔ NPI 1578878799 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 NY · 080748-1
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.
3671 HUDSON MANOR TER, Bronx, NY 10463
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Other Identifiers 1

Medicaid3266622222FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaclyn Petrov Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10463 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 3

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

MS. SHARI T BRODY
Physical Therapist (Pediatrics)
3671 HUDSON MANOR TER, APT. 5B
BRONX, NY 10463
Bronx County (917) 836-5772
SARAH A KASPER
Early Intervention Provider Agency
3671 HUDSON MANOR TER
BRONX, NY 10463
Bronx County (917) 363-6618
PATRICIA ANN FELLER M.D.
Ophthalmology
3671 HUDSON MANOR TER
BRONX, NY 10463
Bronx County (917) 583-7167

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 Jaclyn Petrov's NPI number?

The NPI number for Jaclyn Petrov is 1578878799. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Jaclyn Petrov located?

Jaclyn Petrov practices at 3671 Hudson Manor Ter Apt. 18A, Bronx, NY 10463. The listed phone number is (561) 389-5898.

What is Jaclyn Petrov's specialty?

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

Is Jaclyn Petrov enrolled in Medicare?

Yes. Jaclyn Petrov is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Petrov accept?

Health plans from Providence Health Plan list Jaclyn Petrov 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 Jaclyn Petrov was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.