MRS. KELLY ANNE PETRAVICZ M.ED.
NPI 1710294483
Social Worker - Clinical in Lawrence, MA
About Mrs. Kelly Anne Petravicz M.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY ANNE PETRAVICZ M.ED. (NPI 1710294483) is an individual clinical provider in Lawrence, Massachusetts, licensed in Massachusetts (LICSW1141675) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Anne Petravicz M.ed. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAWRENCE, MA 01843
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 Kelly Petravicz's NPI number?
The NPI number for Kelly Petravicz is 1710294483. It was assigned to this individual provider in the NPPES registry on September 1, 2010.
Where is Kelly Petravicz located?
Kelly Petravicz practices at 370 Merrimack St Ste 120, Lawrence, MA 01843. The listed phone number is (978) 620-0290.
What is Kelly Petravicz's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelly Petravicz enrolled in Medicare?
Yes. Kelly Petravicz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Petravicz was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.