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RYAN ALAN PETROS LICSW
NPI 1821387093
Social Worker - Clinical in Minneapolis, MN

Active since March 28, 2011
2110 LYNDALE AVE S, MINNEAPOLIS, MN 55405(612) 825-8714 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Alan Petros Licsw NPPES

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

RYAN ALAN PETROS LICSW (NPI 1821387093) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (18183) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1821387093
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRYAN ALAN PETROSCredential: LICSW
Location Address2110 LYNDALE AVE SMinneapolis, MN 55405-3196
Mailing Address1825 Chicago AveMinneapolis, MN 55404-1939 · (612) 752-8236
Phone(612) 825-8714
Sole ProprietorYes
Enumeration DateMarch 28, 2011
✔ NPI 1821387093 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 MN · 18183
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.
2110 LYNDALE AVE S, Minneapolis, MN 55405
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Other Providers at the Same Location NPPES

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

DR. SCOTT MICHAEL JACOBY PH.D.
Psychologist (Clinical)
2110 LYNDALE AVE S
MINNEAPOLIS, MN 55405
Hennepin County (952) 353-5931

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 Ryan Petros's NPI number?

The NPI number for Ryan Petros is 1821387093. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Ryan Petros located?

Ryan Petros practices at 2110 Lyndale Ave S, Minneapolis, MN 55405. The listed phone number is (612) 825-8714.

What is Ryan Petros'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 Ryan Petros was last updated on March 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.