MRS. KELLY ANNE PETRAVICZ M.ED.
NPI 1710294483
Social Worker - Clinical in Lawrence, MA

Active since September 01, 2010
370 MERRIMACK ST STE 120, LAWRENCE, MA 01843(978) 620-0290 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, May 4, 2023 (2 updates tracked since 2023).

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.

NPPES Registry Identity

NPI1710294483
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY ANNE PETRAVICZCredential: M.ED.
Location Address370 MERRIMACK ST STE 120Lawrence, MA 01843-1789
Mailing Address370 Merrimack St Bldg 5Lawrence, MA 01843-1788 · (978) 620-0290
Sole ProprietorNo
Enumeration DateSeptember 1, 2010
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1710294483 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 MA · LICSW1141675
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.
370 MERRIMACK ST STE 120, Lawrence, MA 01843

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.

Developmental Therapist
370 MERRIMACK ST STE 120
LAWRENCE, MA 01843
Occupational Therapist
370 MERRIMACK ST STE 120
LAWRENCE, MA 01843
Early Intervention Provider Agency
370 MERRIMACK ST STE 120
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.

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 3 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.